Green Country Behavioral Health Services, INC.
Case Management in Muskogee, OK. Organization (NPI-2).
NPI number1548395809
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1548395809
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Country Behavioral Health Services, INC.
- Organization subpart
- No
- Enumeration date
- Feb 23, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
2719 E ShawneeMuskogee, OK 74401
Phone 918-687-1039
Mailing address
619 N Main StMuskogee, OK 74401-4431
Authorized official
Mark Johnson
Mis Director
9186828407
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