Organization
SOUTHEASTERN OKLAHOMA FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA RAGAN (CEO)
(580) 931-3008
Entity
Organization
Contact information
Practice address
1501 N WASHINGTON AVE, DURANT, OK 74701-2127
(580) 931-3008
Mailing address
PO BOX 1710, KINGSTON, OK 73439-1710
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/04/2013
Last updated
06/08/2017
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