| Moore Alcohol And Drug Center | |
|
624 Nw 5th St Moore OK 73160-3924 | |
| (405) 799-3379 | |
| (405) 799-0912 |
| Full Name | Moore Alcohol And Drug Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 624 Nw 5th St, Moore, Oklahoma |
| Authorized Official Name and Position | Lisa Ann Williams (DIRECTOR OF OUTPATIENT SERVICES) |
| Authorized Official Contact | 4057993379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Alcohol And Drug Center 624 Nw 5th St Moore OK 73160-3924 Ph: (405) 799-3379 | Moore Alcohol And Drug Center 624 Nw 5th St Moore OK 73160-3924 Ph: (405) 799-3379 |
| NPI Number | 1205056546 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205056546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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