Eagle Ridge
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Guthrie, OK
NPI 1326202003 · NPPES record last updated Apr 12, 2018
Key facts
- NPI
- 1326202003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- EAGLE RIDGE
- Practice address
- 1916 E Perkins Ave
Guthrie, OK 73044-5804 - Phone
- (405) 282-8262
- NPI assigned
- Jul 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Cynthia Jane Willis
- Title
- Personnel & Compliance Officer
- Phone
- (405) 858-2821
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 |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | OK | Yes |
Addresses
Primary practice location
1916 E Perkins Ave
Guthrie, OK 73044-5804
Mailing address
PO Box 1182
Guthrie, OK 73044-1182
Phone (405) 282-8232
Other providers in Guthrie, OK
- Renae J Dudley
- Mark Duncan
- Stacy Dawn Dunn
- Chandra M. Dyer
- E-School Virtual Charter Academy
- Eagle Ridge Family Treatment Center
- Eagle Ridge Family Treatment Center
- Eagle Ridge Institute
- Deborah Renee Easton
- Ketti Lynn Eddy
All providers in Guthrie, OK · Mental Illness Community Based Residential Treatment 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 Apr 12, 2018. 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.