Organization Name: | CARL ALBERT COMMUNITY MENTAL HEALTH CENTER |
NPI Number: | 1063630192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DORIS FRIEDA BARLOW (REGISTERED NURSE) |
Mailing Address: | 1101 East Monroe Mcalester |
State: | OK US |
Postal Code: | 74501 |
Phone Number: | 9184267800 |
Fax Number: | 9184265526 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | R 0073312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |