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NORTHWEST TREATMENT CENTER
NPI 1467703348
Substance Abuse Rehabilitation Facility in Waynoka, OK

Active since October 02, 2012
1095 NICKERSON ST, WAYNOKA, OK 73860(580) 824-0674 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST TREATMENT CENTER (NPI 1467703348) is a healthcare organization registered as a substance abuse rehabilitation facility in Waynoka, Oklahoma and active in the NPI registry since October 2012. The organization lists Kristen Ross, Director, as its authorized official.

NPPES Registry Identity

NPI1467703348
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNORTHWEST TREATMENT CENTER
Location Address1095 NICKERSON STWaynoka, OK 73860-1252
Mailing Address1095 Nickerson StWaynoka, OK 73860-1252 · (580) 824-0674
Phone(580) 824-0674
Organization SubpartNo
Authorized OfficialKristen RossDirector · (580) 824-0674
Enumeration DateOctober 2, 2012
✔ NPI 1467703348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1095 NICKERSON ST, Waynoka, OK 73860
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAYLA LOUISE MCCLAIN BS
Counselor
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
MACKENZIE RAE BRUNE PRSS
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 737-0007
MRS. MARSHA LYNNETTE CUNNINGHAM
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
JEANNIE LONG
Peer Specialist
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
BRITTANY MICHELLE CAMPBELL
Peer Specialist
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
CLARISSA M FIFIELD LCSW
Social Worker (Clinical)
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
KRISTEN RENEA HARRIS
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
SUSAN JEANICE BRADFORD
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 430-5271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Treatment Center's NPI number?

The NPI number for Northwest Treatment Center is 1467703348. It was assigned to this organization in the NPPES registry on October 2, 2012.

Where is Northwest Treatment Center located?

Northwest Treatment Center is located at 1095 Nickerson St, Waynoka, OK 73860. The listed phone number is (580) 824-0674.

What is Northwest Treatment Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Northwest Treatment Center was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.