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

PROVIDENCE SERVICE CORPORATION OF OKLAHOMA

Active Organization

PROVIDENCE SERVICE CORPORATION OF OKLAHOMA is a Mental Health Clinic organization located in DURANT, Oklahoma. NPI 1407916802 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · DURANT, OK

Registration Details

NPI Number
1407916802
Provider Type
Organization
NPI Issued
Dec 8, 2006 (19.661068927985 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
134 N 12TH AVE
DURANT, OK, 747014718
Browse OK providers · Browse ZIP 74701
Phone
5809246363
Fax
5809240379
Primary Specialty
Mental Health Clinic
261QM0801X
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.