OrganizationActive
Addiction & Behavioral Health Center, Inc
NPI 1023411907 · Community/Behavioral Health Agency · Ada, OK
Provider details
- NPI number
- 1023411907
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Phillip Bennett, Counselor(405) 712-0514
- License
- 2291 (OK)
Specialties & taxonomies
Agencies
Practice location
124 S Broadway Ave
Suite 200
Ada, OK 74820-5820
Phone: (580) 332-3001
Approximate (ZIP-level) locationGet directions
Mailing address
124 S Broadway Ave
Ada, OK 74820-5820
Registry dates
- Enumerated
- 2014-10-06
- Last updated
- 2014-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.