# RED ROCK BEHAVORIAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1730203951
- **Authorized official:** MS. TIFFANY QUINTILA RIDEAUX BA (PROGRAM ASSISTANT)
- **Authorized official phone:** (405) 425-0333

## Contact information

- **Practice address:** 4404 N. LINCOLN BLVD, OKLAHOMA CITY, OK 73105
- **Practice address phone:** (405) 425-0333
- **Practice address fax:** (405) 425-0312
- **Mailing address:** 3915 NW 122ND ST, APT C, OKLAHOMA CITY, OK 73120-8209
- **Mailing address phone:** (405) 514-4393
- **Mailing address fax:** (405) 425-0312

## Taxonomy

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

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020