Organization
CREOKS BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETA MICHELLE TOLBERT (BHRS)
(918) 899-5382
Entity
Organization
Contact information
Practice address
608 S WILSON AVE, OKMULGEE, OK 74447-6139
(918) 899-5382
Mailing address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-9411
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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