Organization
FOUR WINDS RANCH RECOVERY CENTER FOR ADOLESCENT FEMALES L.L.C.
Active
Organization
FOUR WINDS RANCH RECOVERY CENTER FOR ADOLESCENT FEMALES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NOVELLE (PARTNER)
(501) 227-7305
Entity
Organization
Contact information
Practice address
501 N SANTA FE RD, GUTHRIE, OK 73044-8982
(405) 260-0212
Mailing address
1405 N PIERCE ST, STE 202, LITTLE ROCK, AR 72207-5349
(501) 227-7305
(501) 227-4669
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/10/2006
Last updated
08/22/2020
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