OrganizationActive
The Ivy Center, LLC
NPI 1205672797 · Community/Behavioral Health Agency · Mcloud, OK
Provider details
- NPI number
- 1205672797
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Juantia Marshall, Owner(405) 827-4666
Specialties & taxonomies
Agencies
Practice location
15980 Trailhead Rd
Mcloud, OK 74851-5015
Phone: (405) 827-4666
Fax: (405) 383-4756
Approximate (ZIP-level) locationGet directions
Mailing address
15980 Trailhead Rd
Mcloud, OK 74851-5015
Registry dates
- Enumerated
- 2024-07-03
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.