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Organization

CIMARRON VALLEY THERAPEUTIC SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE W. GATES M.B.S., LBP (PROGRAM DIRECTOR)
(580) 254-2886
Entity
Organization

Contact information

Practice address
1005 9TH ST, WOODWARD, OK 73801-3131
(580) 254-2886
(580) 254-3548
Mailing address
PO BOX 1041, WOODWARD, OK 73802-1041
(580) 254-2886
(580) 254-3548

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
K8600113
OK

Other

Enumeration date
12/01/2006
Last updated
08/22/2020
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