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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNINGTON CREEK LIFE HOUSE

Active Organization

PENNINGTON CREEK LIFE HOUSE is a Community/Behavioral Health organization located in TISHOMINGO, Oklahoma. NPI 1164771366 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · TISHOMINGO, OK

Registration Details

NPI Number
1164771366
Provider Type
Organization
NPI Issued
Sep 4, 2012 (13.958663089472 yrs)
Last Updated
Sep 4, 2012

Practice Information

Address
801 E MAIN ST
TISHOMINGO, OK, 734602351
Browse OK providers · Browse ZIP 73460
Phone
5803713776
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.