| NPI | 1568897585 |
|---|---|
| Other Name | POTEAU CLINIC |
| Entity Type | Organization |
| Authorized Contact | WADE L HAMIL CEO 405-627-0276 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2020-04-22 |