Organization Name: | MFI ENTERPRISES DBA COUSELING CENTER OF SE OKLAHOMA |
NPI Number: | 1033165667 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW M. SMITH (ADMIN. SERVICES) |
Mailing Address: | 107 S High St Antlers |
State: | OK US |
Postal Code: | 745233818 |
Phone Number: | 5802982830 |
Fax Number: | 5802986723 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |