| Organization Name: | OKMULGEE-OKFUSKEE COUNTY YOUTH SERVICES, INC. |
| NPI Number: | 1073634168 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACKIE MILLER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1950 N Okmulgee Ave Okmulgee |
| State: | OK US |
| Postal Code: | 744476534 |
| Phone Number: | 9187567700 |
| Fax Number: | 9187563347 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |