| Red Rock Behavioral Health Services | |
|
1336 N Harrison Ave Shawnee OK 74801-5206 | |
| (405) 424-7711 | |
| Not Available |
| Full Name | Red Rock Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1336 N Harrison Ave, Shawnee, Oklahoma |
| Authorized Official Name and Position | Angi Maxwell-duverger (MANAGER, CREDENTIALING) |
| Authorized Official Contact | 4054250428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Rock Behavioral Health Services 4400 N Lincoln Blvd Oklahoma City OK 73105-5104 Ph: (405) 424-7711 | Red Rock Behavioral Health Services 1336 N Harrison Ave Shawnee OK 74801-5206 Ph: (405) 424-7711 |
| NPI Number | 1588828420 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588828420 | NPI | - | NPPES |
| 100635250Q | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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