Cletas Cottage Day Treatment Center

NPI #1386815215 in Noble, Oklahoma

Provider Information

NPI Number: 1386815215
Entity Type: Organization
Organization Name: Cletas Cottage Day Treatment Center
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 19, 2008
Last Updated: Apr 20, 2008

Practice Location

Address: 220 SOUTH 5TH ST
City: Noble
State: Oklahoma
ZIP Code: 73068
Phone: (580) 925-3286

Authorized Official

Name: MR. CASEY H ANSON
Title: EXECUTIVE DIRECTOR
Phone: (580) 925-8804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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