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State of Oklahoma

NPI #1487727699 in Fairview, Oklahoma

Provider Information

NPI Number
1487727699
Entity Type
Organization
Organization Name
State of Oklahoma
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 16, 2006
Last Updated
Feb 27, 2013

Practice Location

Address
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
Address 2
1425 N. MAIN, SUITE 1
City
Fairview
State
Oklahoma
ZIP Code
73737
Phone
(580) 227-2088

Authorized Official

Name
TRUDY HOFFMAN
Title
EXECUTIVE DIRECTOR
Phone
(580) 571-3233

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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