Organization
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOHNSON (MIS DIRECTOR)
(918) 682-8407
Entity
Organization
Contact information
Practice address
301 N 6TH ST, MUSKOGEE, OK 74401-6008
(918) 682-2491
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
04/01/2008
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