COUNTRYSIDE PSYCHIATRY, PLLC

VINITA, OK
NPI1457142895
Entity TypeOrganization
Authorized ContactJONATHAN W POOLER
Owner
539-937-1715
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-05-15
Last Update Date2025-06-13
Business Address
COUNTRYSIDE PSYCHIATRY, PLLC
411 1/2 N WILSON ST
VINITA, OK 74301
Phone number: 539-937-1715
Mailing Address
COUNTRYSIDE PSYCHIATRY, PLLC
411 1/2 N WILSON ST
VINITA, OK 74301
Phone number: 539-937-1715