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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GENE COX M.S.LPC (EXECUTIVE DIRECTOR)
(580) 338-7259
Entity
Organization

Contact information

Practice address
1004 E HIGHWAY 54, GUYMON, OK 73942-4549
(580) 338-7259
(580) 338-2521
Mailing address
1004 E HIGHWAY 54, P O BOX 1739, GUYMON, OK 73942-4549
(580) 338-7259
(580) 338-2521

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
OK

Other

Enumeration date
08/01/2007
Last updated
08/01/2007
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