NPI | 1942334768 |
---|---|
Doing Business As | NORTHWEST SUBSTANCE ABUSE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | SIDNEY DON SMILEY Chairman Of The Trustee Board 580-824-0674 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 76244) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |