Organization
MARIE DETTY YOUTH & FAMILY SERVICES CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNE OWENS (EXECUTIVE DIRECTOR)
(508) 250-1123
Entity
Organization
Contact information
Practice address
2501 SW E AVE, LAWTON, OK 73505-7320
(580) 248-6450
(580) 248-6486
Mailing address
PO BOX 408, LAWTON, OK 73502-0408
(580) 250-1123
(580) 248-0171
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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