Organization
PORT LAWRENCE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK C. CALVIN LADC/MH (PRESIDENT)
(405) 326-7721
Entity
Organization
Contact information
Practice address
7901 NE 10TH ST, MIDWEST CITY, OK 73110-3600
(405) 326-7721
Mailing address
8617 HONEY LOCUST DR, SPENCER, OK 73084-2115
(405) 326-7721
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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