Organization
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAYLEY MARIE MAYNES BACHELORS DEGREE (SOCIAL SERVICE SPECIALIST II)
(580) 766-2311
Entity
Organization
Contact information
Practice address
RR 3 BOX 57, LAVERNE, OK 73848
(580) 302-1314
Mailing address
RR 3 BOX 57, LAVERNE, OK 73848-9404
(580) 302-1314
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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