| Tri-city Youth & Family Center, Inc. | |
|
14625 Ne 23rd St Choctaw OK 73020-8728 | |
| (405) 390-8131 | |
| (405) 390-8134 |
| Full Name | Tri-city Youth & Family Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14625 Ne 23rd St, Choctaw, Oklahoma |
| Authorized Official Name and Position | Donald J Abbott (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4053908131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Youth & Family Center, Inc. Po Box 695 Choctaw OK 73020-0695 Ph: (405) 390-8131 | Tri-city Youth & Family Center, Inc. 14625 Ne 23rd St Choctaw OK 73020-8728 Ph: (405) 390-8131 |
| NPI Number | 1588812895 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 08/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588812895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Tri-city Youth & Family Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14625 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-8131 Fax: 405-390-8134 |