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Organization
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC
Active
Organization
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SHOFNER (CLINICAL DIRECTOR)
(918) 913-3647
Entity
Organization
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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