Canadian County

NPI #1245450444 in El Reno, Oklahoma

Provider Information

NPI Number: 1245450444
Entity Type: Organization
Organization Name: Canadian County
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 27, 2007
Last Updated: Jun 20, 2008

Practice Location

Address: 7905 EAST HIGHWAY 66
City: El Reno
State: Oklahoma
ZIP Code: 73036
Phone: (405) 262-0202

Authorized Official

Name: MS. JOAN SOUTH, LBP
Title: FACILITY DIRECTOR
Phone: (405) 262-0202

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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