Organization
NEW HOPE CDU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER SHANE FOLSTER BSW (COUNSELOR)
(580) 782-3337
Entity
Organization
Contact information
Practice address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
Mailing address
PO BOX 386, MANGUM, OK 73554-0386
(580) 782-3337
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
607
OK
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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