Eagle Ridge Family Treatment Center

NPI #1619130978 in Guthrie, Oklahoma

Provider Information

NPI Number
1619130978
Entity Type
Organization
Organization Name
Eagle Ridge Family Treatment Center
Subpart
Yes (part of a larger organization)
Parent Organization
EAGLE RIDGE INSTITUTE
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jul 8, 2008
Last Updated
Jul 8, 2008

Practice Location

Address
1916 E PERKINS AVE
Address 2
1916 E PERKINS
ZIP Code
73044-5804
Phone
(405) 282-8272

Authorized Official

Name
MS. PATRICE DARLENE STALEY
Title
PRIMARY COUNSELOR
Phone
(405) 282-8272

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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Provider Name
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