Organization
STATE OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY HOFFMAN (EXECUTIVE DIRECTOR)
(580) 571-3233
Entity
Organization
Contact information
Practice address
702 N. GRAND, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, ENID, OK 73701
(580) 234-3791
(580) 237-7711
Mailing address
1222 10TH STREET, SUITE 211, NORTHWEST CENTER FOR BEHAVIORAL HEALTH, WOODWARD, OK 73801-3156
(580) 571-3217
(580) 256-8609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100646280D
—
OK
Enumeration date
11/20/2006
Last updated
02/27/2013
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