Organization
CREOKS BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALFREDA M MOORE BS (BHRS)
(918) 623-2922
Entity
Organization
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
(918) 623-9316
Mailing address
209 W BROADWAY ST, P.O BOX 149, OKEMAH, OK 74859-2618
(918) 623-2922
(918) 623-9316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2007
Last updated
04/20/2008
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