Organization
MONARCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L ROGERS BS, CADC/U BHRS (EXECUTIVE ASSISTANT/MANAGER)
(918) 463-2581
Entity
Organization
Contact information
Practice address
2310 W BROADWAY ST, MUSKOGEE, OK 74401-2761
(918) 682-7210
(918) 682-0801
Mailing address
2310 W BROADWAY ST, MUSKOGEE, OK 74401-2761
(918) 682-7210
(918) 682-0801
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
651.00
OK
Other
Enumeration date
04/20/2007
Last updated
12/19/2013
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