Organization
EASTERN OKLAHOMA YOUTH SERVICES, INC.
Active
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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