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Organization

PREMIER FAMILY LIFE & TREATMENT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DELOIS J PHILLIPS (PRESIDENT/CEO)
(580) 931-9973
Entity
Organization

Contact information

Practice address
1314 W EVERGREEN ST, DURANT, OK 74701-4726
(580) 931-9973
(580) 924-1176
Mailing address
1314 W EVERGREEN ST, DURANT, OK 74701-4726
(580) 931-9973
(580) 924-1176

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3445
OK

Other

Enumeration date
08/30/2007
Last updated
08/30/2007
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