Bobby Green
NPI #1821849571 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1821849571
- Entity Type
- Individual
- Name
- Bobby Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Apr 1, 2024
- Last Updated
- Apr 1, 2024
Practice Location
- Address
- 2548 E KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-6712
- Phone
- (918) 355-0993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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