Organization
GREAT PLAINS YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARIE WATKER (ADMINISTRATIVE OFFICER)
(580) 726-3383
Entity
Organization
Contact information
Practice address
901 S BROADWAY AVE, HOBART, OK 73651-1834
(580) 726-3383
(580) 726-3384
Mailing address
901 S BROADWAY AVE, HOBART, OK 73651-1834
(580) 726-3383
(580) 726-3384
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100707910A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100707910A
—
OK
Enumeration date
08/11/2008
Last updated
08/11/2008
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