Organization
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOHNSON (MIS DIRECTOR)
(918) 682-8407
Entity
Organization
Contact information
Practice address
2719 E SHAWNEE RD, MUSKOGEE, OK 74403-1533
(918) 687-1039
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
04/01/2008
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