Organization
MEADOW BROOK OUTPATIENT TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY D. COX (OWNER)
(918) 658-2509
Entity
Organization
Contact information
Practice address
800 MEADOW LANE, HOWE, OK 74940-0000
(918) 658-2189
(918) 658-2180
Mailing address
800 MEADOW LANE, HOWE, OK 74940-0000
(918) 658-2189
(918) 658-2180
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708350B
—
OK
Enumeration date
03/16/2007
Last updated
06/29/2009
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