Organization
RED ROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS COURTNEY M HUMPHREY BHRS (CARE COORDINATOR)
(405) 262-3209
Entity
Organization
Contact information
Practice address
200 N CHOCTAW AVE, EL RENO, OK 73036-2624
(405) 262-3209
Mailing address
747 W JUNIPER DR, MUSTANG, OK 73064-3042
(405) 401-1962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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