Organization
NORTHWEST DOMESTIC CRISIS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D FOCKLER BS (EXECUTIVE DIRECTOR)
(580) 256-1215
Entity
Organization
Contact information
Practice address
1323 KANSAS AVE, WOODWARD, OK 73801-3011
(580) 256-1215
Mailing address
1323 KANSAS AVE, WOODWARD, OK 73801-3011
(580) 256-1215
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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