Whalio Doctors

NPI 1083983639

Crisis Control Center

Organisation Case Management Agency Durant, OK

Practice location

Address
115 N 12th Ave Suite C, Durant, OK 74701-4767
Phone
(580) 924-3056
Mailing address
PO Box 113, Durant, OK 74702-0113

Authorised official

Name
Gloria a Stephens
Title
Coordinator
Phone
(580) 924-3056

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X Licence 7096 (OK)

Registry record

NPI
1083983639
Entity type
Organization
NPI issued
27 Dec 2011
Record last updated
27 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.