Organization
CREOKS BEHAVIORAL HEALTH SERVICES, INC
Active
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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