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Organization
TRI-CITY YOUTH & FAMILY CENTER, INC.
Active
Organization
TRI-CITY YOUTH & FAMILY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD J. ABBOTT LCSW (EXECUTIVE DIRECTOR)
(405) 390-8131
Entity
Organization
Contact information
Practice address
14625 NE 23RD ST, CHOCTAW, OK 73020-8728
(405) 390-8131
(405) 390-8134
Mailing address
PO BOX 695, CHOCTAW, OK 73020-0695
(405) 390-8131
(405) 390-8134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100732420A
—
OK
Enumeration date
10/19/2006
Last updated
06/19/2008
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