Organization
MUSKOGEE COUNTY COUNCIL OF YOUTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI RIDDLE (PROGRAM DIRECTOR)
(918) 682-2841
Entity
Organization
Contact information
Practice address
4009 EUFAULA AVE, MUSKOGEE, OK 74403-1132
(918) 682-2841
(918) 682-3359
Mailing address
40009 EUFAULA AVE, MUSKOGEE, OK 74403-0000
(918) 682-2841
(918) 682-3359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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