1750456588 STATE OF OKLAHOMA

Medical Specialty Clinic/Center

Active

Basic Information

Organization Name
STATE OF OKLAHOMA
Enumeration Date
November 20, 2006
Last Update
March 24, 2022
Authorized Official
AUTUMN NICKELSON LADC/LCSW
EXECUTIVE DIRECTOR
Phone: (580) 571-3231

Practice Location

Address
1222 10TH STREET, SUITE 211
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 738013156
Phone
(580) 571-3217
Fax
(580) 256-8609

Mailing Address

Address
1222 10TH STREET, SUITE 211
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK 738013156
Phone
(580) 571-3217
Fax
(580) 256-8609

Specialties & Taxonomies

Specialty Code Classification License State Primary
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A No
Medical Specialty Clinic/Center
Medical Specialty
261QM2500X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
100707390A 05 OK N/A

Frequently Asked Questions

What is STATE OF OKLAHOMA's NPI number?
STATE OF OKLAHOMA's NPI number is 1750456588.
Which doctor has NPI number 1750456588?
The doctor with NPI number 1750456588 is STATE OF OKLAHOMA.
What is STATE OF OKLAHOMA's practice address?
STATE OF OKLAHOMA's practice address is 1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, WOODWARD, OK, 738013156.
Which doctor practices at 1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, WOODWARD, OK, 738013156?
STATE OF OKLAHOMA practices at 1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, WOODWARD, OK, 738013156.
What is STATE OF OKLAHOMA's phone number?
STATE OF OKLAHOMA's phone number is (580) 571-3217.
Who is (580) 571-3217?
(580) 571-3217 is the phone number for STATE OF OKLAHOMA.
What is STATE OF OKLAHOMA's specialty?
STATE OF OKLAHOMA's specialty is Medical Specialty Clinic/Center.
What type of doctor is STATE OF OKLAHOMA?
STATE OF OKLAHOMA is a Medical Specialty Clinic/Center.
Is STATE OF OKLAHOMA a Medical Specialty?
Yes, STATE OF OKLAHOMA is a Medical Specialty.
Is STATE OF OKLAHOMA still practicing?
Yes, STATE OF OKLAHOMA is currently practicing.
Is STATE OF OKLAHOMA accepting new patients?
STATE OF OKLAHOMA may be accepting new patients. Please call their office at (580) 571-3217 to inquire about availability.
Is NPI 1750456588 still active?
Yes, NPI 1750456588 is currently active.
Where does STATE OF OKLAHOMA practice?
STATE OF OKLAHOMA practices in WOODWARD, OK.