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Organization

CLAY CROSSING FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRET LEIKER CRADC, LAC (EXECUTIVE DIRECTOR)
(866) 374-1220
Entity
Organization

Contact information

Practice address
32018 HIGHWAY 59, MAUD, OK 74854
(866) 374-1220
Mailing address
PO BOX 8, MAUD, OK 74854-0008
(186) 637-4120

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
956
OK
324500000X
Substance Abuse Rehabilitation Facility
Primary
10000000
OK

Other

Enumeration date
06/25/2014
Last updated
06/25/2014
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