Organization
RIVERS EDGE MENTAL HEALTH & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA RAGAN (CONSULTANT)
(580) 795-6377
Entity
Organization
Contact information
Practice address
1800 W 1ST ST, SUITE 104, ELK CITY, OK 73644-3133
(580) 225-8899
Mailing address
1800 W 1ST ST, SUITE 104, ELK CITY, OK 73644-3133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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