Organization
KICKAPOO BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WAYNE IRION (HEALTH DIRECTOR)
(405) 964-2081
Entity
Organization
Contact information
Practice address
404 NORTH HIGHWAY 102, MCLOUD, OK 74851
(405) 964-2081
(405) 964-5677
Mailing address
407 NORTH HIGHWAY 102, MCLOUD, OK 74851
(405) 964-2081
(405) 964-5677
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
98
OK
Other
Enumeration date
09/12/2007
Last updated
10/06/2025
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