Organization
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNETTE RICHEY LPC (STATE DIRECTOR)
(580) 924-6363
Entity
Organization
Contact information
Practice address
116 SE AVE N, IDABEL, OK 74745-5234
(580) 924-6363
Mailing address
630 N CRAYCROFT RD, SUITE 250, TUCSON, AZ 85711-1440
(520) 747-6600
(520) 747-6613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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