STATE OF OKLAHOMA

FORT SUPPLY, OK
NPI1922171701
Doing Business AsNORTHWEST CENTER FOR BEHAVIORAL HEALTH
Entity TypeOrganization
Authorized ContactAUTUMN NICKELSON
Executive Director
580-571-3231
Organization Subpart ?No
Primary Taxonomy283Q00000X Psychiatric Hospital
Enumeration Date2006-11-17
Last Update Date2023-12-11
Business Address
STATE OF OKLAHOMA
193461 E CT RD 304
FORT SUPPLY, OK 73841-0001
Phone number: 580-766-2311
Mailing Address
STATE OF OKLAHOMA
193461 E CT RD 304
FORT SUPPLY, OK 73841-0001
Phone number: 580-766-2311