Organization
YWCA REFLECTIONS HALFWAY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BALDWIN MA (COUNSELOR)
(580) 234-7581
Entity
Organization
Contact information
Practice address
525 S QUINCY ST, ENID, OK 73701-5456
(580) 234-7581
Mailing address
525 S QUINCY ST, ENID, OK 73701-5456
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200273890A
—
OK
Enumeration date
08/12/2010
Last updated
08/12/2010
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