Organization Name: | COMMITTEE OF CONCERN, INC. DBA MULTI-COUNTY YOUTH SERVICE |
NPI Number: | 1205955226 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAM WISE (DIRECTOR) |
Mailing Address: | 600 Avant Ave Clinton |
State: | OK US |
Postal Code: | 73601 |
Phone Number: | 5803233322 |
Fax Number: | 5803236233 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 06/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 100729510C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |