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Organization

CRISIS STABILIZATION UNIT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI WHITE (RSS)
(580) 798-4523
Entity
Organization

Contact information

Practice address
1219 K ST NW, ARDMORE, OK 73401-1801
(580) 798-4523
Mailing address
1219 K ST NW, ARDMORE, OK 73401-1801

Taxonomy

Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary

Other

Enumeration date
04/29/2015
Last updated
04/29/2015
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