Organization
YCO CLINTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOBATO MBA (CFO)
18669266552
Entity
Organization
Contact information
Practice address
120 S MADISON AVE, ELK CITY, OK 73644-5741
(580) 660-5573
Mailing address
120 S MADISON AVE, ELK CITY, OK 73644-5741
(158) 066-0557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3990
OK
251S00000X
Community/Behavioral Health Agency
734
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744460
—
OK
Enumeration date
02/10/2010
Last updated
02/10/2010
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