Organization
CANADIAN COUNTY CHILDREN'S JUSTICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOSEPH COLE MSM (CHBS CASE MANAGER)
(405) 264-5567
Entity
Organization
Contact information
Practice address
7905 E US HIGHWAY 66, EL RENO, OK 73036-9225
(405) 264-5567
(405) 264-5502
Mailing address
7905 E US HIGHWAY 66, EL RENO, OK 73036-9225
(405) 264-5567
(405) 264-5502
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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