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Premier Behavorial Health

Community/Behavioral Health in Lawton, OK. Organization (NPI-2).

NPI number1295079705
StatusActive
Last updated in NPPESNov 21, 2012

Details

NPI
1295079705
Entity type
Organization (NPI-2)
Legal business name
Premier Behavorial Health
Organization subpart
No
Enumeration date
Nov 21, 2012
Last updated
Nov 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

2305 Southwest H Avenue
Suite #1
Lawton, OK 73501

Phone 580-699-8551 · Fax 580-699-8553

Mailing address

2305 South West H Avenue
Suite #1
Lawton, OK 73501

Phone 580-699-8551 · Fax 580-699-8553

Authorized official

Dewell Brewer
Director
5806998551

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