| Thunderbird Clubhouse | |
|
1251 Triad Village Dr Norman OK 73071-2967 | |
| (405) 321-7331 | |
| (405) 364-6058 |
| Full Name | Thunderbird Clubhouse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1251 Triad Village Dr, Norman, Oklahoma |
| Authorized Official Name and Position | Pamela Sanford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4053217331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thunderbird Clubhouse 1251 Triad Village Dr Norman OK 73071-2967 Ph: (405) 321-7331 | Thunderbird Clubhouse 1251 Triad Village Dr Norman OK 73071-2967 Ph: (405) 321-7331 |
| NPI Number | 1245517929 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245517929 | NPI | - | NPPES |
| 200268830A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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