Organization
CARL ALBERT COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMI DIANE BROUGHTON LPC (SENIOR TRIAGE SPECIALIST)
(918) 426-7800
Entity
Organization
Contact information
Practice address
401 S GREATHOUSE DR, ATOKA, OK 74525-1647
(580) 239-1828
Mailing address
PO BOX 262, ATOKA, OK 74525-0262
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1911
OK
Other
Enumeration date
03/22/2007
Last updated
07/16/2008
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