Organization
EAGLE RIDGE FAMILY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY E GRIFFITH LPC (DIRECTOR)
(405) 282-8232
Entity
Organization
Contact information
Practice address
1916 E PERKINS AVE, GUTHRIE, OK 73044-5804
(405) 282-8232
(405) 282-0083
Mailing address
PO BOX 1182, 1916 EAST PERKINS, GUTHRIE, OK 73044-1182
(405) 282-8232
(405) 282-0083
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
21854
OK
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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