Organization
THE ANCHOR THERAPY PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR JEROME SNIDER MS LPC (PROGRAM DIRECTOR)
(580) 925-2127
Entity
Organization
Contact information
Practice address
RR 2 BOX 79, KONAWA, OK 74849-9713
(580) 925-2127
Mailing address
RR 2 BOX 79, KONAWA, OK 74849-9713
(580) 925-2127
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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