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Organization

CREOKS MENTAL HEALTH SERVICES

Active
Parent organization
CREOKS MENTAL HEALTH SERVICES
Other names
TRUHEALTH #1
Organization subpart
Yes

Provider details

NPI number
Legal business name
CREOKS MENTAL HEALTH SERVICES
Authorized official
TABITHA TALBOT (GH HELP DESK MANAGER)
(918) 382-7300
Entity
Organization

Contact information

Practice address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
(918) 495-4128
(918) 281-8033
Mailing address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
(918) 495-4128
(918) 281-8033

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200751200C
OK
Enumeration date
10/14/2019
Last updated
12/16/2019
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