Modern Mental Health
NPI #1700390671 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1700390671
- Entity Type
- Organization
- Organization Name
- Modern Mental Health
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Nov 29, 2017
- Last Updated
- Nov 29, 2017
Practice Location
- Address
- 609 S REDWOOD AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4516
- Phone
- (918) 836-0239
Authorized Official
- Name
- KRYSTLE HAHN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (918) 815-6567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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