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Organization
PSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC
Active
Organization
PSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SMITH (CREDENTIALING CONTACT)
(405) 812-6562
Entity
Organization
Contact information
Practice address
109 E MAIN ST UNIT D, STIGLER, OK 74462-2704
(918) 438-5477
Mailing address
109 E MAIN ST UNIT D, STIGLER, OK 74462-2704
(918) 438-5477
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
03/12/2024
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