Organization
KIAMICHI COUNCIL ON ALCOHOLISM AND OR OTHER DRUG ABUSE, INC.
Active
Other names
Kiamichi Council
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORTHEA L. WHITTEN (EXECUTIVE DIRECTOR)
(580) 286-3301
Entity
Organization
Contact information
Practice address
104 N.E. AVE. A, IDABEL, OK 74745-0689
(580) 286-3301
(580) 286-6385
Mailing address
P.O. BOX 689, 104 NE AVENUE A, IDABEL, OK 74745-0689
(580) 286-3301
(580) 286-6385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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