NPI 1164590790

Cimarron Valley Therapeutic Service, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Woodward, OK

Practice location

Address: 1005 9th St, Woodward, OK 73801-3131
Phone: (580) 254-2886
Fax: (580) 254-3548
Mailing address: PO Box 1041, Woodward, OK 73802-1041

Authorised official

Name: Steve W. Gates
Title: Program Director
Phone: (580) 254-2886

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence K8600113 (OK)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oklahoma →

Registry record

NPI: 1164590790
Entity type: Organization
NPI issued: 1 Dec 2006
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.