ADDICTION & BEHAVIORAL HEALTH CENTER IN. NPI 1013032424

NPI Information

ADDICTION & BEHAVIORAL HEALTH CENTER, IN. is a rehabilitation and substance use disorder clinic center in Ada, OK. ADDICTION & BEHAVIORAL HEALTH CENTER, IN. NPI is 1013032424. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Ada Area Chemical Dependency Center, Inc..

The provider's business location address is:

230 E. 12TH ST.
ADA, OK
ZIP 74820-508
Phone: (580) 332-3001
Fax: (580) 332-3652

The provider's authorized official is Vicki Diana Orsburn .
The authorized official title is Executive Director and has the following contact phone number (580) 332-3001.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 12/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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