NPI 1053518878
Red Rock
Practice location
- Address
- 200 N Choctaw Suite 140, El Reno, OK 73036
- Phone
- (405) 262-3209
- Mailing address
- 1000 Hyacinth Hollow Dr, Yukon, OK 73099-7592
Authorised official
- Name
- Casey Lynn Snodgrass
- Title
- Program Assistant
- Phone
- (405) 262-3209
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1053518878
- Entity type
- Organization
- NPI issued
- 27 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.