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Kickapoo Behavioral Health
Substance Use Disorder Rehabilitation Clinic/Center in Mcloud, Oklahoma
NPI 1063607117

Kickapoo Behavioral Health is a Substance Use Disorder Rehabilitation Clinic/Center based in Mcloud, OK and is specialized in Rehabilitation, Substance Use Disorder. Kickapoo Behavioral Health practices in Mcloud, OK. The NPI Number for Kickapoo Behavioral Health is 1063607117 and holds a License No. 98 (Oklahoma).

The current practice location address for Kickapoo Behavioral Health is 404 North Highway 102, Mcloud, OK and can be reached out via phone at 405-964-2081 and via fax at 405-964-5677.

Location: 404 North Highway 102, Mcloud, OK, 74851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063607117
Provider Name
Kickapoo Behavioral Health
Credential
Provider Entity Type
Organization
Address
404 North Highway 102, Mcloud, OK, 74851
Phone Number
405-964-2081
Fax Number
405-964-5677
Provider Enumeration Date
09/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
404 North Highway 102
City
Mcloud
State
Oklahoma
Zip
74851
Phone Number
405-964-2081
Fax Number
405-964-5677
person
Provider Business Mailing Address Details
Address
404 North Highway 102
City
Mcloud
State
Oklahoma
Zip
74851
Phone Number
405-964-2081
Fax Number
405-964-5677
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
98 (Oklahoma)
Definition
Definition to come...
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