Phoenix Gate INC
NPI #1639227028 in Atoka, Oklahoma
Provider Information
- NPI Number
- 1639227028
- Entity Type
- Organization
- Organization Name
- Phoenix Gate INC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- PROF. JOHN E ECKENBERGER, LCSW, LADC, CCS
- Title
- CLINICAL DIRECTOR
- Phone
- (580) 364-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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