| Pavilion Behavioral Health Llc | |
|
99855 Highway 82 Vian OK 74962-6073 | |
| (479) 353-2368 | |
| Not Available |
| Full Name | Pavilion Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 99855 Highway 82, Vian, Oklahoma |
| Authorized Official Name and Position | Dzaidi Daud (CEO/PRESIDENT) |
| Authorized Official Contact | 4793532368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavilion Behavioral Health Llc 99855 Highway 82 Vian OK 74962-6073 Ph: (479) 353-2368 | Pavilion Behavioral Health Llc 99855 Highway 82 Vian OK 74962-6073 Ph: (479) 353-2368 |
| NPI Number | 1992539472 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992539472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
Echota Behavioral Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 Avalon, Vian, OK 74962 Phone: 918-539-9770 |