Organization
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIAN JOHNSON (IT DIRECTOR)
(918) 682-8407
Entity
Organization
Contact information
Practice address
3015 E SKELLY DR STE 115, TULSA, OK 74105-6344
(918) 665-0208
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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