# CLAY CROSSING FOR WOMEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467592642
- **Authorized official:** MS. MARTHA CAROL SIMPSON M.H.R. SUPERVISION (CLINICAL/PROGRAM DIRECTOR)
- **Authorized official phone:** (405) 527-2575

## Contact information

- **Practice address:** 23899 STATE HIGHWAY 74, PURCELL, OK 73080-6964
- **Practice address phone:** (405) 527-2575
- **Practice address fax:** (405) 527-2863
- **Mailing address:** PO BOX 628, PURCELL, OK 73080-0628
- **Mailing address phone:** (405) 527-2575
- **Mailing address fax:** (405) 527-2863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | OK | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 07/21/2022