Organization
JIM TALIAFERRO COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER PAGAN (TRIAGE SPECIALIST ASSISTANT)
(580) 248-5780
Entity
Organization
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 512-6627
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 512-6627
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
05/17/2011
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