Four Winds Ranch Recovery Center for Adolescent Females L.L.C.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

FOUR WINDS RANCH RECOVERY CENTER FOR ADOLESCENT FEMALES L.L.C.

Practice address

501 N Santa Fe Rd
Guthrie, OK 73044-8982

Phone

(405) 260-0212

NPI assigned

Nov 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Novelle

Title

Partner

Phone

(501) 227-7305

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184795338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N PIERCE ST",
            "address_2": "STE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075349",
            "telephone_number": "501-227-7305",
            "fax_number": "501-227-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SANTA FE RD",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730448982",
            "telephone_number": "405-260-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR WINDS RANCH RECOVERY CENTER FOR ADOLESCENT FEMALES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVELLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "501-227-7305"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Fisher, DO
• Clestine Jessie Flowers
• Jami Beth Fogle, M.ED.
• Christopher Foote, BHCM
• Donna L Foster
• Terrill Scott Frazee, D.C.
• Elise Renee Friese, BACHELOR OF SCIENCE
• Francisco Garcia-Leon
• Timothy Gates, B.S., PP, BHRS
• Jeffrey Gaudreau

• Children's Substance Abuse Rehabilitation Facility in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Children's Substance Abuse Rehabilitation Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.