Jim Taliaferro Cmhc

NPI #1285779314 in Anadarko, Oklahoma

Provider Information

NPI Number: 1285779314
Entity Type: Organization
Organization Name: Jim Taliaferro Cmhc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 20, 2007
Last Updated: Jun 16, 2011

Practice Location

Address: 110 SE 2ND STREET
City: Anadarko
State: Oklahoma
ZIP Code: 73005-3416
Phone: (580) 248-5780

Authorized Official

Name: MRS. BRENDA OTOTIVO, LBP, LADC
Title: EXECUTIVE DIRECTOR
Phone: (580) 248-5780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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