OrganizationActive
Kickapoo Behavioral Health
NPI 1063607117 · Substance Use Disorder Rehabilitation Clinic/Center · Mcloud, OK
Provider details
- NPI number
- 1063607117
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wayne Irion, Health Director(405) 964-2081
- License
- 98 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
404 North Highway 102
Mcloud, OK 74851
Phone: (405) 964-2081
Fax: (405) 964-5677
Approximate (ZIP-level) locationGet directions
Mailing address
407 North Highway 102
Mcloud, OK 74851
Registry dates
- Enumerated
- 2007-09-12
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.