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Organization

YCO TULSA, INC

Active
Other names
YouthCare of Oklahoma
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LOBATO (CEO)
(866) 926-6552
Entity
Organization

Contact information

Practice address
1323 N 16TH AVE, DURANT, OK 74701-2134
(866) 926-6552
Mailing address
PO BOX 95207, OKLAHOMA CITY, OK 73143-5207
(866) 926-6552
(580) 547-4076

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
100744460D
OK
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100744460D
OK
Enumeration date
08/06/2006
Last updated
10/21/2020
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