Organization · Type 2 NPI

Cletas Cottage Day Treatment Center

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Noble, OK

NPI number 1386815215 Active

Practice location

220 South 5th St
Noble, OK 73068

Fax (580) 925-3924

Mailing address

PO Box 358, 527 West Third Street
Konawa, OK 74849

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1386815215

Cletas Cottage Day Treatment Center's National Provider Identifier is 1386815215, issued on Mar 19, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Noble, OK. The record was last updated on Apr 20, 2008.