Organization
ROSE ROCK RECOVERY CENTER
Active
Parent organization
OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE
Authorized official
MRS. JUDITH KAY BECK LPC/LADC (ASSISTANT DIRECTOR)
(918) 256-9124
Entity
Organization
Contact information
Practice address
24919 S 4420 RD, VINITA, OK 74301-5529
(918) 256-9210
Mailing address
24919 S 4420 RD, VINITA, OK 74301-5529
(918) 256-9210
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1867
OK
324500000X
Substance Abuse Rehabilitation Facility
682
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1867
LICENSED PROFESSIONAL COUNSELOR
OK
01
—
682
LICENSED ALCOHOL AND DRUG COUNSELOR
OK
Enumeration date
05/12/2009
Last updated
05/12/2009
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