| Eagle Ridge Institute | |
|
601 Ne 63rd St Oklahoma City OK 73105-6407 | |
| (405) 840-1359 | |
| (405) 858-7015 |
| Full Name | Eagle Ridge Institute |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 Ne 63rd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | John Mayfield (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4058401359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Ridge Institute 601 Ne 63rd St Oklahoma City OK 73105-6407 Ph: (405) 840-1359 | Eagle Ridge Institute 601 Ne 63rd St Oklahoma City OK 73105-6407 Ph: (405) 840-1359 |
| NPI Number | 1396889556 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396889556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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