Organization
SOUTHEASTERN PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BOWDEN M.D, (OWNER)
(918) 423-3700
Entity
Organization
Contact information
Practice address
100 S MAIN ST, SUITE B, MCALESTER, OK 74501-5369
(918) 423-3700
Mailing address
100 S MAIN ST, SUITE B, MCALESTER, OK 74501-5369
(918) 423-3700
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R0058049
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747990A
—
OK
Enumeration date
07/24/2015
Last updated
07/24/2015
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