Organization
PSYCHIATRIC AND ADDICTION CENTERED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SMITH (CREDENTIALING CONTACT)
(405) 812-6562
Entity
Organization
Contact information
Practice address
109 E MAIN ST UNIT D, STIGLER, OK 74462-2704
(918) 438-5477
Mailing address
109 E MAIN ST UNIT D, STIGLER, OK 74462-2704
(918) 438-5477
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
03/12/2024
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