| Clay Crossing Foundation | |
|
32018 Highway 59 Maud OK 74854 | |
| (866) 374-1220 | |
| Not Available |
| Full Name | Clay Crossing Foundation |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 32018 Highway 59, Maud, Oklahoma |
| Authorized Official Name and Position | Bret Leiker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8663741220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay Crossing Foundation Po Box 8 Maud OK 74854-0008 Ph: (186) 637-4120 | Clay Crossing Foundation 32018 Highway 59 Maud OK 74854 Ph: (866) 374-1220 |
| NPI Number | 1114332442 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 06/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114332442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 956 (Oklahoma) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 10000000 (Oklahoma) | Primary |
Clay Crossing Foundation Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 59 And County Crossroad, #ew133, Maud, OK 74854 Phone: 405-374-1258 Fax: 405-374-1258 |