| State Of Oklahoma | |
|
Northwest Center For Behavioral Health 124 E. Sheridan Kingfisher OK 73750 | |
| (405) 375-6377 | |
| (405) 375-6377 |
| Full Name | State Of Oklahoma |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Northwest Center For Behavioral Health, Kingfisher, Oklahoma |
| Authorized Official Name and Position | Trudy Hoffman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5805713233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Oklahoma Northwest Center For Behavioral Health 1222 10th Street, Suite 211 Woodward OK 73801-3156 Ph: (580) 571-3217 | State Of Oklahoma Northwest Center For Behavioral Health 124 E. Sheridan Kingfisher OK 73750 Ph: (405) 375-6377 |
| NPI Number | 1285707406 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 09/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285707406 | NPI | - | NPPES |
| 100646280B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Serenity In Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 N Main St, Kingfisher, OK 73750 Phone: 405-538-6407 | |
Red Rock Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 E Sheridan Ave, Kingfisher, OK 73750 Phone: 405-424-7711 Fax: 405-425-0343 | |
Red Rock Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Main St, Kingfisher, OK 73750 Phone: 405-375-3735 |