Tenkiller Behavioral Health Inc

NPI 1003988726 - Clinic/Center - 261QM0801X

NPI Details
NPI 1003988726
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KRISTA KRISTA
Position LPC CO ADMINISTRATOR
Phone (918) 422-4888
Fax (918) 422-5779
Practice Location
201 MAIN STREET
WATTS OK, 74964-0332, US
Phone (918) 422-4888
Fax (918) 422-5779
Business Location
27753 S WELLING RD
WELLING OK, 74471-2202, US
Phone (918) 457-4999
Fax (918) 457-4104
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Tenkiller Behavioral Health Inc NPI is 1003988726, taxonomy code is 261QM0801X Tenkiller Behavioral Health Inc physically located at 201 Main Street, Watts OK, 74964-0332. NPI Number 1033115704 has the healthcare provider type.

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1003988726 NPI number is provided on an as is basis without warranty of any kind. 1003988726 is maintained by the National Plan & Provider Enumeration System. The contents of Tenkiller Behavioral Health Inc are for informational purposes only.