Organization
CEDAR RIDGE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDELL TYRONE BELL (MENTAL HEALTH TECHNICIAN)
(405) 532-3872
Entity
Organization
Contact information
Practice address
6501 NE 50TH ST, OKLAHOMA CITY, OK 73141-9118
(405) 605-6111
Mailing address
6501 NE 50TH ST, OKLAHOMA CITY, OK 73141-9118
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
322D00000X
OK
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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