| Red Rock | |
|
200 N Choctaw Ave El Reno OK 73036-2624 | |
| (405) 262-3209 | |
| Not Available |
| Full Name | Red Rock |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 N Choctaw Ave, El Reno, Oklahoma |
| Authorized Official Name and Position | Courtney M Humphrey (CARE COORDINATOR) |
| Authorized Official Contact | 4052623209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Rock 747 W Juniper Dr Mustang OK 73064-3042 Ph: (405) 401-1962 | Red Rock 200 N Choctaw Ave El Reno OK 73036-2624 Ph: (405) 262-3209 |
| NPI Number | 1053517136 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053517136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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