| Bison Behavioral | |
|
824 S Main St Stillwater OK 74074-4631 | |
| (405) 564-3408 | |
| (405) 332-5154 |
| Full Name | Bison Behavioral |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 824 S Main St, Stillwater, Oklahoma |
| Authorized Official Name and Position | Shawna Moore (OWNER) |
| Authorized Official Contact | 4055643408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bison Behavioral 824 S Main St Stillwater OK 74074-4631 Ph: (405) 564-3408 | Bison Behavioral 824 S Main St Stillwater OK 74074-4631 Ph: (405) 564-3408 |
| NPI Number | 1669272100 |
|---|---|
| Provider Enumeration Date | 03/14/2025 |
| Last Update Date | 03/14/2025 |
| Certification Date | 03/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669272100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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