| Northwest Domestic Crisis Services, Inc | |
|
1323 Kansas Ave Same Woodward OK 73801-3011 | |
| (580) 256-1215 | |
| (580) 256-1245 |
| Full Name | Northwest Domestic Crisis Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1323 Kansas Ave, Woodward, Oklahoma |
| Authorized Official Name and Position | Paul D Fockler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5802561215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Domestic Crisis Services, Inc 1323 Kansas Ave Same Woodward OK 73801-3011 Ph: (580) 256-1215 | Northwest Domestic Crisis Services, Inc 1323 Kansas Ave Same Woodward OK 73801-3011 Ph: (580) 256-1215 |
| NPI Number | 1235358466 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235358466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3694 (Oklahoma) | Primary |
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