NPI 1164721056

Providence Service Corp

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Hugo, OK

Practice location

Address: 117 E Main St, Hugo, OK 74743-6237
Phone: (580) 326-7477
Fax: (580) 326-6400

Authorised official

Name: Tara a Myers
Title: Rehab Specialist
Phone: (580) 326-7477

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Oklahoma →

Registry record

NPI: 1164721056
Entity type: Organization
NPI issued: 18 Mar 2011
Record last updated: 18 Mar 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.