State of Oklahoma

NPI #1205873098 in Mcalester, Oklahoma

Provider Information

NPI Number
1205873098
Entity Type
Organization
Organization Name
State of Oklahoma
Primary Specialty
Psychiatric Hospital
Enumeration Date
Jun 1, 2006
Last Updated
Jul 29, 2009

Practice Location

Address
1101 E MONROE AVE
ZIP Code
74501-4815
Phone
(918) 426-7800

Authorized Official

Name
MS. DEBORAH SUE MORAN, LPC, LADC
Title
EXECUTIVE DIRECTOR
Phone
(918) 426-7800

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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