Organization
PREMIER BEHAVIORAL HEALTH & THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QWANNAH TARLETON (CO-OWNER)
(405) 365-4275
Entity
Organization
Contact information
Practice address
3700 N CLASSEN BLVD, C35, OKLAHOMA CITY, OK 73118-2872
(405) 606-8883
Mailing address
3700 N CLASSEN BLVD, C35, OKLAHOMA CITY, OK 73118-2872
(405) 606-8883
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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