Organization
CITY OF MANGUM
Active
Other names
New Hope of Mangum
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE B. PRICE (EXECUTIVE DIRECTOR)
(580) 782-3337
Entity
Organization
Contact information
Practice address
2 WICKERSHAM ST, 201 N. OKLAHOMA, MANGUM, OK 73554-9117
(580) 782-3337
(580) 782-3338
Mailing address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
(580) 782-3338
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
010
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700910A
—
OK
Enumeration date
02/27/2007
Last updated
07/09/2008
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