Organization · NPI-2

Green Country Behavioral Health Services, INC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Muskogee, OK

NPI number1992248082
StatusActive
Last updated in NPPESNov 22, 2016

Details

NPI
1992248082
Entity type
Organization (NPI-2)
Legal business name
Green Country Behavioral Health Services, INC
Organization subpart
No
Enumeration date
Nov 22, 2016
Last updated
Nov 22, 2016

Taxonomy and licenses

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

Practice location

619 N Main St
Muskogee, OK 74401-4431

Phone 918-682-8407

Mailing address

619 N Main St
Muskogee, OK 74401-4431

Phone 918-682-8407

Authorized official

Melissa Shofner
Clinical Director
9189133647

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