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Organization

NORTHWEST TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTEN ROSS (DIRECTOR)
(580) 824-0674
Entity
Organization

Contact information

Practice address
1095 NICKERSON ST, WAYNOKA, OK 73860-1252
(580) 824-0674
Mailing address
1095 NICKERSON ST, WAYNOKA, OK 73860-1252
(580) 824-0674

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
OK

Other

Enumeration date
10/02/2012
Last updated
10/02/2012
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