Organization
CREOKS MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS M PERRY LPC (VP OF CLINICAL SERVICES)
(918) 756-9411
Entity
Organization
Contact information
Practice address
2 S COO Y YAH ST, SUITE 4, PRYOR, OK 74361-4636
(918) 756-9411
(918) 756-2126
Mailing address
PO BOX 760, OKMULGEE, OK 74447-0760
(918) 756-9411
(918) 756-2126
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CMHC-561
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620
—
OK
Enumeration date
09/14/2012
Last updated
09/14/2012
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