Organization
CIMARRON VALLEY THERAPEUTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE GATES M.B.S., LBP (PROGRAM DIRECTOR)
(580) 254-2886
Entity
Organization
Contact information
Practice address
205 W HARTFORD AVE, PONCA CITY, OK 74601-1547
(580) 765-0076
(580) 765-0073
Mailing address
205 W HARTFORD AVE, PONCA CITY, OK 74601-1547
(580) 765-0076
(580) 765-0073
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
K8600113
OK
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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