Eagle Ridge Institute

NPI #1821119447 in Wagoner, Oklahoma

Provider Information

NPI Number
1821119447
Entity Type
Organization
Organization Name
Eagle Ridge Institute
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 2, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
109 S HARRILL AVE
Address 2
1
ZIP Code
74467-5317
Phone
(918) 485-3554

Authorized Official

Name
DAN K WELLMEIER
Title
PROGRAM DIRECTOR
Phone
(918) 458-3554

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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