Clay Crossing Foundation

NPI 1114332442 - Counselor - 101YA0400X

NPI Details
NPI 1114332442
Enumeration Date 06/25/2014
Last Updated 06/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRET BRET
Position EXECUTIVE DIRECTOR
Phone (866) 374-1220
Fax
Practice Location
32018 HIGHWAY 59
MAUD OK, 74854, US
Phone (866) 374-1220
Fax
Business Location
PO BOX 8
MAUD OK, 74854-0008, US
Phone (186) 637-4120
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Oklahoma
License Number 956
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According to our database, Clay Crossing Foundation NPI is 1114332442, taxonomy code is 101YA0400X and license number is 956, license state is located at Oklahoma. Clay Crossing Foundation physically located at 32018 Highway 59, Maud OK, 74854. NPI Number 1033115704 has the healthcare provider type.

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1114332442 NPI number is provided on an as is basis without warranty of any kind. 1114332442 is maintained by the National Plan & Provider Enumeration System. The contents of Clay Crossing Foundation are for informational purposes only.