| Organization Name: | MANGUM PUBLIC SCHOOL |
| NPI Number: | 1346364098 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTS WILLIAMS (DIRECTOR) |
| Mailing Address: | 400 N Pennsylvania Ave Mangum |
| State: | OK US |
| Postal Code: | 735543034 |
| Phone Number: | 5807823371 |
| Fax Number: | 5807822313 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |