STATE OF OKLAHOMA is a psychiatric hospital in Fort Supply, OK. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STATE OF OKLAHOMA NPI is 1922171701. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Center For Behavioral Health.
The provider's business location address is:
193461 E CT RD 304
FORT SUPPLY, OK
ZIP 73841-001
Phone: (580) 766-2311
Fax: (580) 766-2017
The provider's authorized official is Autumn Nickelson .
The authorized official title is Executive Director and has the following contact phone number (580) 571-3231.
The enumeration date for this NPI number is 11/17/2006 and was last updated on 12/11/2023.