Organization
MODOC NATION BEHAVIORAL HEALTH
Active
Other names
Modoc Nation Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
LACI BARTON APRN-CNP (DIRECTOR OF OPERATIONS)
(918) 387-8720
Entity
Organization
Contact information
Practice address
24 N EIGHT TRIBES TRL, MIAMI, OK 74354-1011
(918) 387-8720
(918) 956-2970
Mailing address
22 N EIGHT TRIBES TRL, MIAMI, OK 74354-1011
(918) 387-8720
(918) 238-4225
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SKOK0
—
OK
Enumeration date
12/16/2019
Last updated
04/14/2026
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