Organization
JIM TALIAFERRO COMMUNITY MENTAL HEALTH CENTER
Active
Parent organization
OKLAHOMA DEPARTMENT OF MENTAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKLAHOMA DEPARTMENT OF MENTAL HEALTH
Authorized official
KELLY DILLON (OUTPATIENT SUPERVISOR)
(580) 248-5780
Entity
Organization
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505
(580) 248-5780
(580) 250-1831
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
(580) 250-1831
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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