NPI 1487823290
Chickasha Opportunity Center, INC.
Practice location
- Address
- 1804 W Iowa Ave, Chickasha, OK 73018-2707
- Phone
- (405) 224-4916
- Fax
- (405) 224-4987
- Mailing address
- PO Box 685, Chickasha, OK 73023-0685
Authorised official
- Name
- Thomas Hannon
- Title
- Executive Director
- Phone
- (405) 224-4916
Registered specialties (4)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Private Vehicle
Child Intellectual and/or Developmental Disabilities Respite Care
Registry record
- NPI
- 1487823290
- Entity type
- Organization
- NPI issued
- 26 Feb 2008
- Record last updated
- 26 Feb 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.