Provider First Line Business Practice Location Address:
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
Provider Second Line Business Practice Location Address:
1 MILE EAST ON HIGHWAY 270
Provider Business Practice Location Address City Name:
FORT SUPPLY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73841-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-766-2311
Provider Business Practice Location Address Fax Number:
580-766-2017
Provider Enumeration Date:
11/17/2006