NPI 1003025990
Thunder Canyon Counseling Center, INC.
Practice location
- Address
- 1911 Locust St, Alva, OK 73717-1759
- Phone
- (580) 327-3846
Authorised official
- Name
- Mark William Davis
- Title
- Clinical Director
- Phone
- (580) 327-3846
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003025990
- Entity type
- Organization
- NPI issued
- 21 May 2007
- Record last updated
- 28 Oct 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.