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Organization

QUEST MHSA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARLA MAPLE (FSS)
(580) 298-3001
Entity
Organization

Contact information

Practice address
905 W MAIN ST, ANTLERS, OK 74523-2045
(580) 298-3001
Mailing address
PO BOX 787, ANTLERS, OK 74523-0787

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/03/2008
Last updated
11/03/2008
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