Organization · Type 2 NPI
Kickapoo Behavioral Health
Substance Use Disorder Rehabilitation Clinic/Center · Mcloud, OK
NPI number
1063607117
Active
Practice location
404 North Highway 102
Mcloud, OK 74851
Fax (405) 964-5677
Mailing address
407 North Highway 102
Mcloud, OK 74851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 98 (OK) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1063607117
Kickapoo Behavioral Health's National Provider Identifier is 1063607117, issued on Sep 12, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Mcloud, OK. The record was last updated on Oct 6, 2025.