CLAY CROSSING FOUNDATION NPI 1114332442

NPI Information

NPI: 1114332442
Provider Name: CLAY CROSSING FOUNDATION
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
32018 HIGHWAY 59
MAUD, OK
ZIP 74854
Phone: (866) 374-1220
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CLAY CROSSING FOUNDATION is a substance abuse rehabilitation facility in Maud, OK. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CLAY CROSSING FOUNDATION NPI is 1114332442. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32018 HIGHWAY 59
MAUD, OK
ZIP 74854
Phone: (866) 374-1220

The provider's authorized official is Bret Leiker .
The authorized official title is Executive Director and has the following contact phone number (866) 374-1220.

The enumeration date for this NPI number is 6/25/2014 and was last updated on 6/25/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	956	OKLAHOMA	No
2	324500000X	Substance Abuse Rehabilitation Facility		10000000	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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