STATE OF OKLAHOMA; DBA:BILL WILLIS COMMUNITY MENTAL HEALTH CENTER

TAHLEQUAH, OK
NPI1508987959
Entity TypeOrganization
Authorized ContactWALTER MICHAEL KINNEY
Director Of Pharmacy
918-207-3049
Organization Subpart ?No
Primary Taxonomy261QM0801X 
(Licence: OK  36-4537)
Enumeration Date2007-04-03
Last Update Date2023-03-07
Business Address
STATE OF OKLAHOMA; DBA:BILL WILLIS COMMUNITY MENTAL HEALTH CENTER
1400 S. HENSLEY DR
TAHLEQUAH, OK 74465-0558
Phone number: 918-207-3049
Mailing Address
STATE OF OKLAHOMA; DBA:BILL WILLIS COMMUNITY MENTAL HEALTH CENTER
1400 S. HENSLEY DR P.O. BOX 558
TAHLEQUAH, OK 74465-0558
Phone number: 918-207-3049