State of Oklahoma

NPI #1619012515 in Lawton, Oklahoma

Provider Information

NPI Number
1619012515
Entity Type
Organization
Organization Name
State of Oklahoma
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF OKLAHOMA DEPARTMENT OF MENTAL HEALTH
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Feb 20, 2007
Last Updated
Jan 30, 2024

Practice Location

Address
602 SW 38TH STREET
City
Lawton
ZIP Code
73505-6912
Phone
(580) 248-5780

Authorized Official

Name
MRS. TERRI LEE, LPC
Title
EXECUTIVE DIRECTOR
Phone
(580) 250-2640

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty
Community/Behavioral Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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