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Organization

YCO CLINTON, INC.

Active
Other names
YouthCare of Oklahoma
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT LOBATO M.P.H. (OWNER/CEO)
(405) 222-8167
Entity
Organization

Contact information

Practice address
1312 S. MORGAN RD., SUITE D, YUKON, OK 73099
(866) 926-6552
(405) 632-0038
Mailing address
PO BOX 95207, OKLAHOMA CITY, OK 73143-5207
(866) 926-6552
(405) 632-0038

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100744460
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100744460
OK
Enumeration date
08/20/2008
Last updated
08/20/2008
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