| Yco Clinton, Inc | |
|
3535 Nw 58th St Suite 800e Oklahoma City OK 73112-4804 | |
| (866) 926-6552 | |
| (580) 323-6152 |
| Full Name | Yco Clinton, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3535 Nw 58th St, 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 Clinton, Inc Po Box 95207 Oklahoma City OK 73143-5207 Ph: (866) 926-6552 | Yco Clinton, Inc 3535 Nw 58th St Suite 800e Oklahoma City OK 73112-4804 Ph: (866) 926-6552 |
| NPI Number | 1215244892 |
|---|---|
| Provider Enumeration Date | 09/03/2010 |
| Last Update Date | 09/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215244892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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