CAMELOT COMMUNITY SERVICES OF OKLAHOMA LLC NPI 1699838565

NPI Information

CAMELOT COMMUNITY SERVICES OF OKLAHOMA, LLC is a mental health (including community mental health center) clinic center in Broken Bow, OK. CAMELOT COMMUNITY SERVICES OF OKLAHOMA, LLC NPI is 1699838565. The provider is registered as an organization entity type.
The provider Other Name Is Counseling Center Of Se Oklahoma.

The provider's business location address is:

100 N BROADWAY ST
BROKEN BOW, OK
ZIP 74728-934
Phone: (580) 584-6054

The provider's authorized official is Derrel Levy .
The authorized official title is Exec Dir and has the following contact phone number (580) 298-2830.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 11/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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