Green Country Behavioral Health Services, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Muskogee, OK. Organization (NPI-2).
NPI number1336203132
StatusActive
Last updated in NPPESApr 1, 2008
Details
- NPI
- 1336203132
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Country Behavioral Health Services, INC.
- Organization subpart
- No
- Enumeration date
- Dec 19, 2006
- Last updated
- Apr 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | OK | Yes |
Practice location
619 N Main StMuskogee, OK 74401-4431
Phone 918-682-8407 · Fax 918-687-0976
Mailing address
619 N Main StMuskogee, OK 74401-4431
Phone 918-682-8407 · Fax 918-687-0976
Authorized official
Mark Brian Johnson
Mis Director
9186828407
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