New Hope Cdu LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Mangum, OK
NPI 1114265246 · NPPES record last updated Jan 24, 2013
Key facts
- NPI
- 1114265246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 607 (OK)
- Legal business name
- NEW HOPE CDU LLC
- Practice address
- 2 Wickersham St
Mangum, OK 73554-9117 - Phone
- (580) 782-3337
- NPI assigned
- Jan 24, 2013
- Organization subpart
- No
Authorized official
- Name
- Elmer Shane Folster, BSW
- Title
- Counselor
- Phone
- (580) 782-3337
Practitioners 5
-
Elmer Shane Folster, BSW
-
Renee Richelle Klassen, BA.BHRS
-
Halla R Powers, CBHCM
-
Loriann Sanchez, BSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 607 | OK | Yes |
Addresses
Primary practice location
2 Wickersham St
Mangum, OK 73554-9117
Mailing address
PO Box 386
Mangum, OK 73554-0386
Phone (580) 782-3337
Other providers in Mangum, OK
- Christolia Martinez
- Connie Jane McClain
- Steffany Mealer
- Robert Albert Milstead
- Michelle Dawn Mullens
- New Hope Cdu, LLC
- Bryton Newton Newton
- Tammy Ochoa
- Nelson Simba Ogembo
- Parents Investment Corporation
All providers in Mangum, OK · Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.