NPI 1386815215
Cletas Cottage Day Treatment Center
Practice location
- Address
- 220 South 5th St, Noble, OK 73068
- Phone
- (580) 925-3286
- Fax
- (580) 925-3924
- Mailing address
- PO Box 358 527 West Third Street, Konawa, OK 74849
Authorised official
- Name
- Casey H Anson
- Title
- Executive Director
- Phone
- (580) 925-8804
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1386815215
- Entity type
- Organization
- NPI issued
- 19 Mar 2008
- Record last updated
- 20 Apr 2008
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.