Organization
TENKILLER BEHAVIORAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA MICHELLE PETERSON LPC (ADMINISTRATOR)
(918) 316-1323
Entity
Organization
Contact information
Practice address
304 N MUSKOGEE AVE, TAHLEQUAH, OK 74464-2738
(918) 207-0079
Mailing address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 457-4999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/08/2010
Last updated
02/15/2010
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