| NPI | 1164544599 |
|---|---|
| Other Name | EAGLE RIDGE FAMILY TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN MAYFIELD Owner 405-840-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2020-08-22 |