Organization
STATE OF OKLAHOMA
Active
Other names
Carl Albert Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH SUE MORAN LPC, LADC (EXECUTIVE DIRECTOR)
(918) 426-7800
Entity
Organization
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
(918) 426-5526
Mailing address
PO BOX 579, MCALESTER, OK 74502-0579
(918) 426-7800
(918) 426-5526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100706960A
—
OK
Enumeration date
02/26/2008
Last updated
07/29/2009
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