Full Name | Theea |
---|---|
Speciality | Community/behavioral Health |
Location | 9960 County Road 3500, Ada, Oklahoma |
Authorized Official Name and Position | Theea D Swinford (COUNSELOR) |
Authorized Official Contact | 5802727282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Theea 9960 County Road 3500 Ada OK 74820-3556 Ph: (580) 745-9891 | Theea 9960 County Road 3500 Ada OK 74820-3556 Ph: (580) 745-9891 |
NPI Number | 1134523921 |
---|---|
Provider Enumeration Date | 10/22/2014 |
Last Update Date | 10/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134523921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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