| Yco Tulsa | |
|
222 E Sheridan Ave Suite 2 Oklahoma City OK 73104-4233 | |
| (405) 200-0125 | |
| (405) 270-0543 |
| Full Name | Yco Tulsa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 222 E Sheridan Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Robert Lobato (CEO) |
| Authorized Official Contact | 8669266552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yco Tulsa Po Box 95207 Oklahoma City OK 73143-5207 Ph: (866) 926-6552 | Yco Tulsa 222 E Sheridan Ave Suite 2 Oklahoma City OK 73104-4233 Ph: (405) 200-0125 |
| NPI Number | 1730430067 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 04/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730430067 | NPI | - | NPPES |
| 100744460 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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