Organization
PUSHMATAHA COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ANN MILLS-PARKER LADC, MHR (EXECUTIVE DIRECTOR)
(918) 825-4872
Entity
Organization
Contact information
Practice address
205 S ADAIR ST, PRYOR, OK 74361-5201
(918) 825-4872
(918) 825-4873
Mailing address
205 S ADAIR ST, PRYOR, OK 74361-5201
(918) 825-4872
(918) 825-4873
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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