Organization
CANA MISSIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNNA D MACHTOLFF (OWNER)
(405) 414-3891
Entity
Organization
Contact information
Practice address
1409 S DIVISION ST, GUTHRIE, OK 73044-5009
(405) 293-9774
Mailing address
1409 S DIVISION ST, GUTHRIE, OK 73044-5009
(405) 293-9774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3181
OK
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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