Organization
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIAN JOHNSON (IT DIRECTOR)
(918) 682-8407
Entity
Organization
Contact information
Practice address
3015 E SKELLY DR STE 115, TULSA, OK 74105-6344
(918) 665-0208
(918) 687-0976
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
(918) 687-0976
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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