State of Oklahoma
NPI #1285707406 in Kingfisher, Oklahoma
Provider Information
- NPI Number
- 1285707406
- Entity Type
- Organization
- Organization Name
- State of Oklahoma
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Sep 12, 2013
Practice Location
- Address
- NORTHWEST CENTER FOR BEHAVIORAL HEALTH
- Address 2
- 124 E. SHERIDAN
- City
- Kingfisher
- State
- Oklahoma
- ZIP Code
- 73750
- Phone
- (405) 375-6377
Authorized Official
- Name
- TRUDY HOFFMAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (580) 571-3233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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