Yukon Pediatrics Behavioral Health L.l.c.

NPI #1528418795 in Yukon, Oklahoma

Provider Information

NPI Number
1528418795
Entity Type
Organization
Organization Name
Yukon Pediatrics Behavioral Health L.l.c.
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Jun 17, 2016
Last Updated
Jun 17, 2016

Practice Location

Address
508 W VANDAMENT AVE
Address 2
STE. 207
City
Yukon
ZIP Code
73099-4655
Phone
(405) 265-2655

Authorized Official

Name
ALECIA ANNE HANES, M.D.
Title
PRESIDENT
Phone
(405) 265-2655

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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