Organization
YOUTH SERVICES OF BRYAN COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JANELLE RUSSELL LPC (CLINICAL DIRECTOR)
(580) 931-3441
Entity
Organization
Contact information
Practice address
1105 LYNNWOOD ST, DURANT, OK 74701-2919
(580) 924-6263
(580) 924-6775
Mailing address
PO BOX 813, DURANT, OK 74702-0813
(580) 924-6263
(580) 924-6775
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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