Pennington Creek Life House
Pennington Creek Life House is a Community/Behavioral Health Agency in Coalgate, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.
- Licensed in
- OK
- In the registry since
- 2009
Practice location Address checks out
8 S Michigan St Ste BCoalgate, OK 74538-2825
Phone: (580) 310-4164
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 3877 (OK) |
|---|
Record details
| NPI number | 1922246115 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jan Wyatt — Clinical Director · (580) 310-4164 |
| NPI enumerated | January 27, 2009 |
| Last updated in NPPES | January 27, 2009 |
| Mailing address | Po Box 261, Fittstown, OK 74842-0261 |