Refuge Behavioral Health Pllc

NPI 1104193093 - Clinic/Center - 261Q00000X

NPI Details
NPI 1104193093
Enumeration Date 11/21/2011
Last Updated 09/24/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TYSON MIDDLE TYSON
Position OWNER
Phone (580) 371-0321
Fax (158) 037-1031
Practice Location
201 S MURRAY ST
TISHOMINGO OK, 73460-2224, US
Phone (580) 371-0321
Fax (158) 037-1031
Business Location
201 S MURRAY ST
TISHOMINGO OK, 73460-2224, US
Phone (580) 371-0321
Fax (158) 037-1031
Toxanomy
Taxonomy Code 261Q00000X
License State Oklahoma
License Number 4255
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According to our database, Refuge Behavioral Health Pllc NPI is 1104193093, taxonomy code is 261Q00000X and license number is 4255, license state is located at Oklahoma. Refuge Behavioral Health Pllc physically located at 201 S Murray St, Tishomingo OK, 73460-2224. NPI Number 1033115704 has the healthcare provider type.

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1104193093 NPI number is provided on an as is basis without warranty of any kind. 1104193093 is maintained by the National Plan & Provider Enumeration System. The contents of Refuge Behavioral Health Pllc are for informational purposes only.