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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