Refuge Behavioral Health Pllc
NPI #1104193093 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1104193093
- Entity Type
- Organization
- Organization Name
- Refuge Behavioral Health Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 21, 2011
- Last Updated
- Sep 24, 2012
Practice Location
- Address
- 201 S MURRAY ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-2224
- Phone
- (580) 371-0321
Authorized Official
- Name
- MR. TYSON MIDDLE RATZLAFF, M.ED, LPC
- Title
- OWNER
- Phone
- (580) 272-8012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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