Premier Behavorial Health

NPI 1295079705 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1295079705
Enumeration Date 11/21/2012
Last Updated 11/21/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DEWELL DEWELL
Position DIRECTOR
Phone (580) 699-8551
Fax (580) 699-8553
Practice Location
2305 SOUTHWEST H AVENUE
SUITE #1
LAWTON OK, 73501, US
Phone (580) 699-8551
Fax (580) 699-8553
Business Location
2305 SOUTH WEST H AVENUE
SUITE #1
LAWTON OK, 73501, US
Phone (580) 699-8551
Fax (580) 699-8553
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1295079705 NPI Number
 

According to our database, Premier Behavorial Health NPI is 1295079705, taxonomy code is 251S00000X Premier Behavorial Health physically located at 2305 Southwest H Avenue, Lawton OK, 73501. NPI Number 1033115704 has the healthcare provider type.

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1295079705 NPI number is provided on an as is basis without warranty of any kind. 1295079705 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Behavorial Health are for informational purposes only.