Organization
WHITE HORSE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMIE SMITH (DIRECTOR)
(580) 994-5649
Entity
Organization
Contact information
Practice address
1601 WILKIE RD, MOORELAND, OK 73852-8921
(580) 994-5649
(580) 994-2739
Mailing address
1601 WILKIE RD, MOORELAND, OK 73852-8921
(580) 994-5649
(580) 994-2739
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
OK
Other
Enumeration date
07/12/2007
Last updated
07/21/2022
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