Eagle Ridge Institute

NPI #1851521363 in Tahlequah, Oklahoma

Provider Information

NPI Number
1851521363
Entity Type
Organization
Organization Name
Eagle Ridge Institute
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 17, 2009
Last Updated
Jul 17, 2009

Practice Location

Address
109 W 2ND STREET
ZIP Code
74464
Phone
(918) 431-0418

Authorized Official

Name
MS. TAMMY M VAUGHN, LPC
Title
ASSOCIATE EXECUTIVE DIRECTOR
Phone
(405) 282-5283

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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