New Hope Cdu LLC

NPI #1114265246 in Mangum, Oklahoma

Provider Information

NPI Number: 1114265246
Entity Type: Organization
Organization Name: New Hope Cdu LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 24, 2013
Last Updated: Jan 24, 2013

Practice Location

Address: 2 WICKERSHAM ST
City: Mangum
State: Oklahoma
ZIP Code: 73554-9117
Phone: (580) 782-3337

Authorized Official

Name: ELMER SHANE FOLSTER, BSW
Title: COUNSELOR
Phone: (580) 782-3337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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