Pushmataha Counseling Services, Inc.

NPI #1508065970 in Pryor, Oklahoma

Provider Information

NPI Number
1508065970
Entity Type
Organization
Organization Name
Pushmataha Counseling Services, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 16, 2007
Last Updated
Jul 16, 2007

Practice Location

Address
205 S ADAIR ST
City
Pryor
ZIP Code
74361-5201
Phone
(918) 825-4872

Authorized Official

Name
GARRY WAYNE RUSSELL, LADC, MHR
Title
PRESIDENT/CEO
Phone
(918) 825-4872

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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