Eagle Ridge Family Treatment Center

Organization Active NPI Case Management Agency · Guthrie, OK

NPI 1740565191 · NPPES record last updated Oct 18, 2011

Key facts

NPI
1740565191
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
License
21854 (OK)
Legal business name
EAGLE RIDGE FAMILY TREATMENT CENTER
Practice address
1916 E Perkins Ave
Guthrie, OK 73044-5804
Phone
(405) 282-8232
Fax
(405) 282-0083
NPI assigned
Oct 18, 2011
Organization subpart
No

Authorized official

Name
Ms. Mary E Griffith, LPC
Title
Director
Phone
(405) 282-8232

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 21854 OK Yes

Addresses

Primary practice location

1916 E Perkins Ave
Guthrie, OK 73044-5804

Mailing address

PO Box 1182
1916 East Perkins
Guthrie, OK 73044-1182
Phone (405) 282-8232

Other providers in Guthrie, OK

All providers in Guthrie, OK · Case Management Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.