Eagle Ridge Institute
Organization Active NPI Substance Abuse Rehabilitation Facility · Guthrie, OK
NPI 1164544599 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164544599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- EAGLE RIDGE INSTITUTE
- Practice address
- 5427 Easy St
Guthrie, OK 73044-6621 - Phone
- (405) 282-4377
- NPI assigned
- Apr 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. John Mayfield
- Title
- Owner
- Phone
- (405) 840-1359
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Eagle Ridge Family Treatment Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | OK | Yes |
Addresses
Primary practice location
5427 Easy St
Guthrie, OK 73044-6621
Mailing address
5427 Easy St
Guthrie, OK 73044-6621
Phone (405) 282-4377
Other names
- Eagle Ridge Family Treatment Center
Other providers in Guthrie, OK
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- E-School Virtual Charter Academy
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- Eagle Ridge Family Treatment Center
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- Ketti Lynn Eddy
- Zachary T Edens
- Denise Ergang
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All providers in Guthrie, OK · Substance Abuse Rehabilitation Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.