| Tenkiller Behavioral Services Inc | |
|
27753 S Welling Rd Welling OK 74471-2202 | |
| (918) 457-4999 | |
| (918) 457-4104 |
| Full Name | Tenkiller Behavioral Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 27753 S Welling Rd, Welling, Oklahoma |
| Authorized Official Name and Position | Davetta Mcintosh (CEO OWNER) |
| Authorized Official Contact | 9184574221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenkiller Behavioral Services Inc 27753 S Welling Rd Welling OK 74471-2202 Ph: (918) 457-4999 | Tenkiller Behavioral Services Inc 27753 S Welling Rd Welling OK 74471-2202 Ph: (918) 457-4999 |
| NPI Number | 1134291859 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134291859 | NPI | - | NPPES |
| 100708280C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Oklahoma) | Primary |