NPI 1053517136

Red Rock

Organisation Community/Behavioral Health Agency El Reno, OK

Practice location

Address: 200 N Choctaw Ave, El Reno, OK 73036-2624
Phone: (405) 262-3209
Mailing address: 747 W Juniper Dr, Mustang, OK 73064-3042

Authorised official

Name: Courtney M Humphrey
Title: Care Coordinator
Phone: (405) 262-3209

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Oklahoma →

Registry record

NPI: 1053517136
Entity type: Organization
NPI issued: 25 Jun 2007
Record last updated: 22 Aug 2020

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.