Green Country Behavioral Health Services, Inc.
NPI #1396892527 in Fort Gibson, Oklahoma
Provider Information
- NPI Number
- 1396892527
- Entity Type
- Organization
- Organization Name
- Green Country Behavioral Health Services, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Apr 1, 2008
Practice Location
- Address
- 500 ROSS AVE
- City
- Fort Gibson
- State
- Oklahoma
- ZIP Code
- 74434-8422
- Phone
- (918) 682-8407
Authorized Official
- Name
- MARK BRIAN JOHNSON
- Title
- IT DIRECTOR
- Phone
- (918) 682-8407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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