Organization
YOUTH SERVICES OF BRYAN COUNTY, INC
Active
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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