Organization
THEEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEEA D SWINFORD (COUNSELOR)
(580) 272-7282
Entity
Organization
Contact information
Practice address
9960 COUNTY ROAD 3500, ADA, OK 74820-3556
(580) 745-9891
Mailing address
9960 COUNTY ROAD 3500, ADA, OK 74820-3556
(580) 745-9891
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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