Organization
JTCMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOURGENIA GREENE (TRIAGE SPECIALIST ASSISTANT)
(580) 248-5780
Entity
Organization
Contact information
Practice address
5403 RUMBOUGH RD UNIT A, FORT SILL, OK 73503-3056
(580) 248-5780
Mailing address
5403 RUMBOUGH RD UNIT A, FORT SILL, OK 73503-3056
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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