Organization
STONEWALL FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN D OWENS (OWNER)
(580) 310-4164
Entity
Organization
Contact information
Practice address
107 MAIN, STONEWALL, OK 74871
(580) 310-4771
Mailing address
107 MAIN, STONEWALL, OK 74871
(580) 310-4771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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