Tabor Behavioral Health LLC
Psychiatry & Neurology, Psychiatry in Ardmore, OK. Organization (NPI-2).
NPI number1164062253
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1164062253
- Entity type
- Organization (NPI-2)
- Legal business name
- Tabor Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2020
- Certification date
- Oct 30, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
2615 Ridgeway StArdmore, OK 73401-2901
Phone 405-822-7151
Mailing address
2615 Ridgeway StArdmore, OK 73401-2901
Phone 405-822-7151
Authorized official
Aaron Tabor
Owner
4058227151
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