Kiamichi Council On Alcohoism and Other Drug Abuse Inc.

NPI #1467990721 in Idabel, Oklahoma

Provider Information

NPI Number: 1467990721
Entity Type: Organization
Organization Name: Kiamichi Council On Alcohoism and Other Drug Abuse Inc.
Primary Specialty: Case Management
Enumeration Date: Feb 7, 2017
Last Updated: Feb 7, 2017

Practice Location

Address: 104 NE AVE A
City: Idabel
State: Oklahoma
ZIP Code: 74745
Phone: (580) 286-3301

Authorized Official

Name: DORTHIA WHITTEN
Title: EXECUTIVE DIRECTOR
Phone: (580) 286-3301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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