Organization · NPI-2

Green Country Behavioral Health Services INC.

Case Management · Muskogee, OK

NPI number1366217697
StatusActive
Last updated in NPPESNov 16, 2023

Details

NPI
1366217697
Entity type
Organization (NPI-2)
Legal business name
Green Country Behavioral Health Services INC.
Organization subpart
No
Enumeration date
Nov 16, 2023
Certification date
Nov 16, 2023
Last updated
Nov 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

619 N Main St
Muskogee, OK 74401-4431

Phone 918-323-6324

Mailing address

619 N Main St
Muskogee, OK 74401-4431

Phone 918-323-6324

Authorized official

Jacob Hiseley
Case Manager
9183236324

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