| Community Counselors Group Inc. | |
|
310 S 10th St Hartshorne OK 74547-4212 | |
| (918) 297-3400 | |
| (918) 297-3401 |
| Full Name | Community Counselors Group Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 310 S 10th St, Hartshorne, Oklahoma |
| Authorized Official Name and Position | Ruby Aline Riley (OWNER) |
| Authorized Official Contact | 9182972609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counselors Group Inc. 310 S 10th St Hartshorne OK 74547-4212 Ph: (918) 297-3400 | Community Counselors Group Inc. 310 S 10th St Hartshorne OK 74547-4212 Ph: (918) 297-3400 |
| NPI Number | 1245516905 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245516905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2158 (Oklahoma) | Primary |
Community Counselors Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S 11th St, Hartshorne, OK 74547 Phone: 918-297-3400 Fax: 918-297-3401 |