Organization
MUSKOGEE COUNTY COUNCIL OF YOUTH SERVICE
Active
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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