Organization
MILLENNIUM COMMUNITY MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE L HAMIL PHD (MANAGING MEMBER)
(405) 627-0276
Entity
Organization
Contact information
Practice address
1212 REYNOLDS AVE, POTEAU, OK 74953-4724
(918) 649-0172
Mailing address
3816 SHADOWRIDGE DR, NORMAN, OK 73072-5308
(918) 649-0172
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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