Organization
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
Active
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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