Organization
CENTER 4 CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J. COUNTZ (OWNER)
(918) 694-9677
Entity
Organization
Contact information
Practice address
111 S MAIN ST, MCALESTER, OK 74501-5363
(918) 423-5204
Mailing address
111 S MAIN ST, MCALESTER, OK 74501-5363
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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