Organization
C4C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONYA MORGAN (BHRS)
(918) 413-2568
Entity
Organization
Contact information
Practice address
34396 RIVER RD, WHITESBORO, OK 74577-1019
(918) 413-2568
Mailing address
34396 RIVER RD, WHITESBORO, OK 74577-1019
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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