PROVIDENCE SERVICE CORPORATION OF OKLAHOMA

LAWTON, OK
NPI1033279443
Doing Business AsPROVIDENCE OF OKLAHOMA
Entity TypeOrganization
Authorized ContactBREEANN MARIE HOERNING
Ar And Billing Manager
520-747-6600
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2006-12-08
Last Update Date2020-08-22
Business Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
4645 W GORE BLVD STE 5
LAWTON, OK 73505-5962
Phone number: 580-355-6800
Mailing Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
620 N CRAYCROFT RD
TUCSON, AZ 85711-1448
Phone number: 520-747-6600