Organization
THE AMETHYST HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI KIRBY (DIRECTOR)
(580) 481-8760
Entity
Organization
Contact information
Practice address
218 W CYPRESS ST, ALTUS, OK 73521-3713
(580) 481-8760
Mailing address
PO BOX 16, ALTUS, OK 73522-0016
(580) 481-8760
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/25/2022
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