Organization Name: | NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER |
NPI Number: | 1154455004 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM ORSI (COO) |
Mailing Address: | 119 W Paul Ave Pauls Valley |
State: | OK US |
Postal Code: | 730753218 |
Phone Number: | 4058582700 |
Fax Number: | 4058582720 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |