Organization
RED ROCK BEHAVORIAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY QUINTILA RIDEAUX BA (PROGRAM ASSISTANT)
(405) 425-0333
Entity
Organization
Contact information
Practice address
4404 N. LINCOLN BLVD, OKLAHOMA CITY, OK 73105
(405) 425-0333
(405) 425-0312
Mailing address
3915 NW 122ND ST, APT C, OKLAHOMA CITY, OK 73120-8209
(405) 514-4393
(405) 425-0312
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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