NPI 1326202003

Eagle Ridge

Organisation Mental Illness Community Based Residential Treatment Facility Guthrie, OK

Practice location

Address: 1916 E Perkins Ave, Guthrie, OK 73044-5804
Phone: (405) 282-8262
Mailing address: PO Box 1182, Guthrie, OK 73044-1182

Authorised official

Name: Cynthia Jane Willis
Title: Personnel & Compliance Officer
Phone: (405) 858-2821

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Oklahoma →

Registry record

NPI: 1326202003
Entity type: Organization
NPI issued: 11 Jul 2008
Record last updated: 12 Apr 2018

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.