Organization
YCO TULSA, INC
Active
Parent organization
YCO TULSA, INC.
Other names
YouthCare of Oklahoma
Organization subpart
Yes
Provider details
NPI number
Legal business name
YCO TULSA, INC.
Authorized official
MR. ROBERT LOBATO (CEO)
(866) 926-6552
Entity
Organization
Contact information
Practice address
603 W 12TH ST, CLAREMORE, OK 74017-4013
(866) 926-6552
(918) 289-0551
Mailing address
PO BOX 95207, OKLAHOMA CITY, OK 73143-5207
(866) 926-6552
(580) 323-6152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
04/28/2017
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