Organization
ADDICTION & BEHAVIORAL HEALTH CENTER, IN.
Active
Organization
ADDICTION & BEHAVIORAL HEALTH CENTER, IN.
Active
Other names
Ada Area Chemical Dependency Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI DIANA ORSBURN CADC, BA (EXECUTIVE DIRECTOR)
(580) 332-3001
Entity
Organization
Contact information
Practice address
230 E. 12TH ST., ADA, OK 74820-6508
(580) 332-3001
(580) 332-3652
Mailing address
230 E. 12TH ST., ADA, OK 74820
(580) 332-3001
(580) 332-8774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100732530A
—
OK
Enumeration date
03/21/2007
Last updated
12/20/2023
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