NPI 1538402979
Lifespan
Practice location
- Address
- 212 W Evergreen St, Durant, OK 74701-4710
- Phone
- (580) 931-9901
Authorised official
- Name
- Hazel Southerland
- Title
- Executive Director
- Phone
- (580) 931-9901
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1538402979
- Entity type
- Organization
- NPI issued
- 4 Apr 2013
- Record last updated
- 4 Apr 2013
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.