# CEDAR RIDGE HOSPITAL

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

## Provider details

- **NPI number:** 1609193135
- **Authorized official:** MR. CHANDELL TYRONE BELL (MENTAL HEALTH TECHNICIAN)
- **Authorized official phone:** (405) 532-3872

## Contact information

- **Practice address:** 6501 NE 50TH ST, OKLAHOMA CITY, OK 73141-9118
- **Practice address phone:** (405) 605-6111
- **Mailing address:** 6501 NE 50TH ST, OKLAHOMA CITY, OK 73141-9118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | OK | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 04/23/2010