Organization
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
Active
Other names
Providence of Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M DUGAN (CONTROLLER)
(520) 747-6600
Entity
Organization
Contact information
Practice address
931 ARLINGTON ST STE 2, ADA, OK 74820-4025
(580) 332-6851
Mailing address
620 N CRAYCROFT RD, TUCSON, AZ 85711-1448
(520) 747-6600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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