Organization
CREOKS BEHAVIORAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL BLACK LPC, BCPC (DIRESCTOR OF INTENSIVE OUTPATIENT P)
(918) 592-1622
Entity
Organization
Contact information
Practice address
2725 E SKELLY DR STE 200, TULSA, OK 74105-6253
(918) 814-5718
(918) 322-6168
Mailing address
14701 COURTNEY LN, GLENPOOL, OK 74033-3556
(918) 814-5718
(918) 322-6168
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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