Port Lawrence Behavioral Health Services LLC
NPI #1891293759 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1891293759
- Entity Type
- Organization
- Organization Name
- Port Lawrence Behavioral Health Services LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 25, 2018
- Last Updated
- Jan 25, 2018
Practice Location
- Address
- 7901 NE 10TH ST
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-3600
- Phone
- (405) 326-7721
Authorized Official
- Name
- MR. FRANK C. CALVIN, LADC/MH
- Title
- PRESIDENT
- Phone
- (405) 326-7721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
| Community/Behavioral Health |
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