Organization
PREMIER BEHAVORIAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEWELL BREWER (DIRECTOR)
(580) 699-8551
Entity
Organization
Contact information
Practice address
2305 SOUTHWEST H AVENUE, SUITE #1, LAWTON, OK 73501
(580) 699-8551
(580) 699-8553
Mailing address
2305 SOUTH WEST H AVENUE, SUITE #1, LAWTON, OK 73501
(580) 699-8551
(580) 699-8553
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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