Organization
MILLENNIUM COMMUNITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAMS (BHRS)
(918) 567-2815
Entity
Organization
Contact information
Practice address
53565 WILLIAMS AVE., TALIHINA, OK 74571
(918) 567-2815
Mailing address
53565 WILLIAMS AVE., TALIHINA, OK 74571
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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