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
500 N 6TH ST, CLINTON, OK 73601-2422
(580) 309-7961
Mailing address
PO BOX 95207, OKLAHOMA CITY, OK 73143-5207
(866) 926-6552
(405) 270-0543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
100744460B
OK
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744460B
—
OK
Enumeration date
08/06/2006
Last updated
10/21/2020
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