PROVIDENCE SERVICE CORPORATION OF OKLAHOMA

IDABEL, OK
NPI1295154581
Entity TypeOrganization
Authorized ContactLYNNETTE RICHEY
State Director
580-924-6363
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2014-04-15
Last Update Date2014-04-15
Business Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
116 SE AVE N
IDABEL, OK 74745-5234
Phone number: 580-924-6363
Mailing Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
630 N CRAYCROFT RD SUITE 250
TUCSON, AZ 85711-1440
Phone number: 520-747-6600
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