Organization
CITY OF GOSHEN HEALTH SERVICES LLC
Active
Other names
COGHS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAPHAEL NDAM ADUA (CEO)
(240) 918-7586
Entity
Organization
Contact information
Practice address
2828 NW 57TH ST STE 200, OKLAHOMA CITY, OK 73112-7070
(240) 918-7586
(405) 938-1422
Mailing address
19508 YEARLING WAY, EDMOND, OK 73012-3490
(240) 918-7586
(405) 938-1422
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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