Organization
UNITED COMMUNITY ACTION PROGRAM, INC.
Active
Organization
UNITED COMMUNITY ACTION PROGRAM, INC.
Active
Other names
Community Alcoholism Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E. JESTES CADC (PROGRAM DIRECTOR)
(918) 762-3686
Entity
Organization
Contact information
Practice address
600 DENVER ST, PAWNEE, OK 74058-3522
(918) 762-3686
(918) 762-2617
Mailing address
501 6TH ST, PAWNEE, OK 74058-2542
(918) 762-3686
(918) 762-2617
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2006
Last updated
08/22/2020
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