Organization
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SHOFNER (CLINICAL DIRECTOR)
(918) 913-3647
Entity
Organization
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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