Organization
NORTHWEST DOMESTIC CRISIS SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL D FOCKLER BS (EXECUTIVE DIRECTOR)
(580) 256-1215
Entity
Organization
Contact information
Practice address
1323 KANSAS AVE, SAME, WOODWARD, OK 73801-3011
(580) 256-1215
(580) 256-1245
Mailing address
1323 KANSAS AVE, SAME, WOODWARD, OK 73801-3011
(580) 256-1215
(580) 256-1245
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3694
OK
Other
Enumeration date
04/25/2007
Last updated
09/06/2023
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