PROVIDENCE SERVICE CORPORATION OF OKLAHOMA

NPI # 

Practice Address:

4645 W Gore Blvd Ste 5

Lawton, OK, 73505-5962

Practice Phone:

580-355-6800

Practice Fax:

580-355-0666

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X