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Organization
CIMARRON VALLEY THERAPEUTIC SERVICE, INC.
Active
Organization
CIMARRON VALLEY THERAPEUTIC SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE W. GATES M.B.S., LBP (PROGRAM DIRECTOR)
(580) 254-2886
Entity
Organization
Contact information
Practice address
1005 9TH ST, WOODWARD, OK 73801-3131
(580) 254-2886
(580) 254-3548
Mailing address
PO BOX 1041, WOODWARD, OK 73802-1041
(580) 254-2886
(580) 254-3548
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
K8600113
OK
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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