Organization
KIAMICHI COUNCIL ON ALCOHOISM AND OTHER DRUG ABUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORTHIA WHITTEN (EXECUTIVE DIRECTOR)
(580) 286-3301
Entity
Organization
Contact information
Practice address
104 NE AVE A, IDABEL, OK 74745
(580) 286-3301
(580) 286-6385
Mailing address
PO BOX 689, IDABEL, OK 74745
(580) 286-3301
(580) 286-6385
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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