Organization · NPI-2
Jim Taliaferro Cmhc
Clinic/Center, Mental Health (Including Community Mental Health Center) · Anadarko, OK
NPI number1285779314
StatusActive
Last updated in NPPESJun 16, 2011
Details
- NPI
- 1285779314
- Entity type
- Organization (NPI-2)
- Legal business name
- Jim Taliaferro Cmhc
- Organization subpart
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Jun 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 0005111 | OK | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
110 Se 2nd StreetAnadarko, OK 73005-3416
Phone 580-248-5780 · Fax 580-353-3202
Mailing address
110 Se 2nd StreetAnadarko, OK 73005-3416
Phone 580-248-5780 · Fax 580-353-3202
Authorized official
Brenda Ototivo
Executive Director
5802485780
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