Organization
COMMUNITY COUSELING CENTER, INC.
Active
Other names
Gatewood Place RCF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA J ARNOLD (ADMINISTRATOR)
(405) 258-2445
Entity
Organization
Contact information
Practice address
1700 NW 17TH ST, OKLAHOMA CITY, OK 73106-4212
(405) 528-2445
(405) 528-2436
Mailing address
1700 NW 17TH ST, OKLAHOMA CITY, OK 73106-4212
(405) 528-2445
(405) 528-2436
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
100728790-A
OK
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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