Organization
CHICKASHA OPPORTUNITY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HANNON (EXECUTIVE DIRECTOR)
(405) 224-4916
Entity
Organization
Contact information
Practice address
1804 W IOWA AVE, CHICKASHA, OK 73018-2707
(405) 224-4916
(405) 224-4987
Mailing address
PO BOX 685, CHICKASHA, OK 73023-0685
(405) 224-4916
(405) 224-4987
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
OK
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
OK
347C00000X
Private Vehicle
—
OK
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
OK
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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