Organization
ADA AREA YOUTH SHELTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY BROWN (BEHAVIORAL HEALTH PROGRAMS DIRECTOR)
(580) 436-6130
Entity
Organization
Contact information
Practice address
901 W 18TH ST, ADA, OK 74820-7423
(580) 436-6130
(580) 436-6135
Mailing address
901 W 18TH ST, ADA, OK 74820-7423
(580) 436-6130
(580) 436-6135
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
21292
OK
Other
Enumeration date
01/15/2010
Last updated
04/23/2010
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