Organization
WILD HORSE COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ILENE PADGETT BHCM II (OWNER)
(580) 279-9591
Entity
Organization
Contact information
Practice address
1088 S GIN RD., ATOKA, OK 74525
(580) 279-9591
Mailing address
154 W SHADY LN, ATOKA, OK 74525-4005
(580) 279-9591
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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