Organization
YCO TULSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOBATO (CEO)
(866) 926-6552
Entity
Organization
Contact information
Practice address
222 E SHERIDAN AVE, SUITE 2, OKLAHOMA CITY, OK 73104-4233
(405) 200-0125
(405) 270-0543
Mailing address
PO BOX 95207, OKLAHOMA CITY, OK 73143-5207
(866) 926-6552
(405) 270-0543
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744460
—
OK
Enumeration date
09/26/2012
Last updated
04/05/2018
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