Organization
QUEST MLSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA MAPLE (CSO)
(580) 298-3001
Entity
Organization
Contact information
Practice address
903 WEST MAIN, ANTLERS, OK 74523-2045
(580) 298-3001
Mailing address
903 W. MAIN ST., ANTLER, OK 74523-0000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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