| Center 4 Change | |
|
111 S Main St Mcalester OK 74501-5363 | |
| (918) 423-5204 | |
| Not Available |
| Full Name | Center 4 Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 111 S Main St, Mcalester, Oklahoma |
| Authorized Official Name and Position | Barbara J. Countz (OWNER) |
| Authorized Official Contact | 9186949677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center 4 Change 111 S Main St Mcalester OK 74501-5363 Ph: () - | Center 4 Change 111 S Main St Mcalester OK 74501-5363 Ph: (918) 423-5204 |
| NPI Number | 1023301645 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023301645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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