Organization
EASTERN OKLAHOMA YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT RYAN KELLEY LPC (EXECUTIVE DIRECTOR)
(918) 420-5325
Entity
Organization
Contact information
Practice address
511 COLLEGE CT, TAHLEQUAH, OK 74464-4747
(918) 453-0600
(918) 453-0628
Mailing address
2626 S 14TH ST, SUITE A20, MCALESTER, OK 74501-7383
(918) 420-5325
(918) 420-5327
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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