# STATE OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carl Albert Community Mental Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689843559
- **Authorized official:** MS. DEBORAH SUE MORAN LPC, LADC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (918) 426-7800

## Contact information

- **Practice address:** 1101 E MONROE AVE, MCALESTER, OK 74501-4815
- **Practice address phone:** (918) 426-7800
- **Practice address fax:** (918) 426-5526
- **Mailing address:** PO BOX 579, MCALESTER, OK 74502-0579
- **Mailing address phone:** (918) 426-7800
- **Mailing address fax:** (918) 426-5526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 07/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100706960A | — | OK |