Kickapoo Behavioral Health in Mcloud - Rehabilitation, Substance Use Disorder
Kickapoo Behavioral Health - NPI 1063607117
Kickapoo Behavioral Health is a Rehabilitation, Substance Use Disorder in Mcloud, Oklahoma. Kickapoo Behavioral Health practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Kickapoo Behavioral Health is 1063607117. The last update date is 2008-04-20.
Kickapoo Behavioral Health's current location address is 407 North Highway 102, Mcloud, Oklahoma. You can contact this provider via phone number 4059642081 and fax number 4059645677. The mailing address for Kickapoo Behavioral Health is 407 North Highway 102, Mcloud, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kickapoo Behavioral Health |
|---|---|
| Address | 407 North Highway 102, Mcloud, Oklahoma |
| Phone Number | 4059642081 |
| Fax Number | 4059645677 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUBSTANCE |
|---|---|
| Authorized Official Name | Crow Dean Willa |
| Credentials | CADC |
| Telephone Number | 4059642081 |
NPI Number Detail
| NPI Number | 1063607117 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 407 North Highway 102 |
|---|---|
| City | Mcloud |
| State | Oklahoma (OK) |
| Post Code | 74851 |
| Phone Number | 4059642081 |
| Fax Number | 4059645677 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 98 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kickapoo Behavioral Health?
The Kickapoo Behavioral Health has been issued the NPI (National Provider Identifier) 1063607117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Kickapoo Behavioral Health is physically located?
The Kickapoo Behavioral Health is physically situated at the following address: 407 North Highway 102, Mcloud, OK, 74851.
What is the Kickapoo Behavioral Health's specialty and taxonomy code?
The Kickapoo Behavioral Health's specialty is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code is 261Qr0405X.
On what date did the Kickapoo Behavioral Health receive its 1063607117 assignment from the Centers for Medicare & Medicaid Services?
The Kickapoo Behavioral Health was assigned its 1063607117 by the Centers for Medicare & Medicaid Services on 2007-09-12.
When was the information pertaining to Kickapoo Behavioral Health most recently updated or revised?
The details related to Kickapoo Behavioral Health, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-20.