OrganizationActive
Eagle Ridge
NPI 1326202003 · Mental Illness Community Based Residential Treatment Facility · Guthrie, OK
Provider details
- NPI number
- 1326202003
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cynthia Willis, Personnel & Compliance Officer(405) 858-2821
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1916 E Perkins Ave
Guthrie, OK 73044-5804
Phone: (405) 282-8262
Street-level locationGet directions
Mailing address
Po Box 1182
Guthrie, OK 73044-1182
Registry dates
- Enumerated
- 2008-07-11
- Last updated
- 2018-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.