NPI: 1871887703
Provider Name: EASTERN SKY MENTAL HEALTH, INC
Former Legal Business Name: EASTERN SKY, PC
Classification: Counselor - 101YP2500X
Entity Type: Organization
Specialization: Professional
Address:
301 E MAIN ST
SUITE 3
WILBURTON, OK
ZIP 74578
Phone: (918) 465-0300
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EASTERN SKY MENTAL HEALTH, INC is a professional counselor in Wilburton, OK. EASTERN SKY MENTAL HEALTH, INC NPI is 1871887703. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Eastern Sky, Pc.
The provider's business location address is:
301 E MAIN ST
SUITE 3
WILBURTON, OK
ZIP 74578-415
Phone: (918) 465-0300
Fax: (918) 465-0300
The provider's authorized official is Alice Leona Caldwell .
The authorized official title is Therapist and has the following contact phone number (918) 465-0300.
The enumeration date for this NPI number is 6/8/2011 and was last updated on 2/6/2017.