Organization
YCO TULSA
Active
Other names
YouthCare of Oklahoma - Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOBATO (CEO)
(918) 289-0550
Entity
Organization
Contact information
Practice address
1809 COMMOMS CIRCLE, SUITE B, YUKON, OK 73099-5787
(866) 926-6552
(918) 289-0550
Mailing address
PO BOX 95207, OKLAHOMA CITY, OK 73143-5207
(866) 926-6552
(918) 289-0551
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333190
—
OK
Enumeration date
11/17/2015
Last updated
05/02/2018
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