| Addiction & Behavioral Health Center, Inc | |
|
124 S Broadway Ave Suite 200 Ada OK 74820-5820 | |
| (580) 332-3001 | |
| Not Available |
| Full Name | Addiction & Behavioral Health Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 124 S Broadway Ave, Ada, Oklahoma |
| Authorized Official Name and Position | Phillip Lane Bennett (COUNSELOR) |
| Authorized Official Contact | 4057120514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction & Behavioral Health Center, Inc 124 S Broadway Ave Ada OK 74820-5820 Ph: (580) 332-3001 | Addiction & Behavioral Health Center, Inc 124 S Broadway Ave Suite 200 Ada OK 74820-5820 Ph: (580) 332-3001 |
| NPI Number | 1023411907 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023411907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2291 (Oklahoma) | Primary |
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