National Provider Identifier Database

STATE OF OKLAHOMA
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

STATE OF OKLAHOMA
5050 WILLIAMS AVENUE
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
WOODWARD, OK73801
Phone: 580-256-9700
Fax: 580-256-9704
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for STATE OF OKLAHOMA

NPI Number 1700950201
Legal business name
LBN
STATE OF OKLAHOMA
Authorized official AUTUMN NICKELSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/17/2006
Last updated 03/24/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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