| Childrens Recovery Center - Cbsec | |
|
320 12th Ave Ne Norman OK 73071-5238 | |
| (405) 573-3811 | |
| (405) 573-3960 |
| Full Name | Childrens Recovery Center - Cbsec |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 320 12th Ave Ne, Norman, Oklahoma |
| Authorized Official Name and Position | Teresa O Capps (EXECUTIVE DIRECTOR (INTERIM)) |
| Authorized Official Contact | 4055733811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Recovery Center - Cbsec Po Box 151 Attn: Gmh Finance Norman OK 73070-0151 Ph: (405) 573-3811 | Childrens Recovery Center - Cbsec 320 12th Ave Ne Norman OK 73071-5238 Ph: (405) 573-3811 |
| NPI Number | 1881716900 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 06/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881716900 | NPI | - | NPPES |
| 100688950B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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