Cimarron Valley Therapeutic Service, Inc.

NPI #1164590790 in Woodward, Oklahoma

Provider Information

NPI Number: 1164590790
Entity Type: Organization
Organization Name: Cimarron Valley Therapeutic Service, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Dec 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1005 9TH ST
City: Woodward
State: Oklahoma
ZIP Code: 73801-3131
Phone: (580) 254-2886

Authorized Official

Name: STEVE W. GATES, M.B.S., LBP
Title: PROGRAM DIRECTOR
Phone: (580) 254-2886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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