Organization
REFUGE BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYSON MIDDLE RATZLAFF M.ED, LPC (OWNER)
(580) 272-8012
Entity
Organization
Contact information
Practice address
201 S MURRAY ST, TISHOMINGO, OK 73460-2224
(580) 371-0321
(158) 037-1031
Mailing address
201 S MURRAY ST, TISHOMINGO, OK 73460-2224
(580) 371-0321
(158) 037-1031
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4255
OK
Other
Enumeration date
11/21/2011
Last updated
09/24/2012
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