| Organization Name: | YCO TULSA, INC |
| NPI Number: | 1871502047 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT LOBATO (CEO) |
| Mailing Address: | 115 1/2 E 1st Street Watonga |
| State: | OK US |
| Postal Code: | 737723817 |
| Phone Number: | 8669266552 |
| Fax Number: | 5806235992 |
| NPI Enumeration Date: | 08/06/2006 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 100744460D |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |