Organization
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Active
Parent organization
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Other names
Mental Health Services of Southern Oklahoma
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Authorized official
MAUNA LIA (ADMINISTRATIVE ASSISTANT)
(580) 319-7305
Entity
Organization
Contact information
Practice address
414 W MUSKOGEE AVE, SULPHUR, OK 73086-4614
(580) 319-7305
Mailing address
414 W MUSKOGEE AVE, SULPHUR, OK 73086-4614
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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