Organization
CRISIS CONTROL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA A STEPHENS CM (COORDINATOR)
(580) 924-3056
Entity
Organization
Contact information
Practice address
115 N 12TH AVE, SUITE C, DURANT, OK 74701-4767
(580) 924-3056
Mailing address
PO BOX 113, DURANT, OK 74702-0113
(580) 924-3056
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7096
OK
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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