Provider Demographics
NPI:1275840985
Name:YCO , INC
Entity Type:Organization
Organization Name:YCO , INC
Other - Org Name:YOUTHCARE OF OKLAHOMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-926-6552
Mailing Address - Street 1:PO BOX 95207
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73143-5207
Mailing Address - Country:US
Mailing Address - Phone:866-926-6552
Mailing Address - Fax:580-323-6152
Practice Address - Street 1:216 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-3628
Practice Address - Country:US
Practice Address - Phone:866-926-6552
Practice Address - Fax:580-323-6152
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YCO, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-02
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty