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Organization

CHILDRENS EECOVERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFF SMITH (DIRECTOR)
(405) 364-9004
Entity
Organization

Contact information

Practice address
2220 S SANTA FE AVE APT 105, MOORE, OK 73160-2866
(405) 664-0415
Mailing address
2220 S. SANTA FE APT 105, MOORE, OK 73160
(405) 664-0415

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
01/17/2012
Last updated
01/17/2012
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