AACDC (ADA AREA CHEMICAL DEPENDENCY CENTER, INC) NPI 1700104924

Public Health or Welfare in Ada, OK

NPI 1700104924 Organization Public Health or Welfare

About AACDC (ADA AREA CHEMICAL DEPENDENCY CENTER, INC)

Aacdc (ada Area Chemical Dependency Center, Inc) is a provider established in Ada, Oklahoma specializing in public health or welfare. The NPI number of Aacdc (ada Area Chemical Dependency Center, Inc) is 1700104924 and was assigned on May 2010. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Aacdc. The authorized official of this NPI record is Mr. Karl Eric Lee Ms (Counselor)

NPI

1700104924

Provider NameAACDC (ADA AREA CHEMICAL DEPENDENCY CENTER, INC)
Provider Location Address704 N OAK AVE ROOM 20 ADA, OK 74820
Provider Mailing Address704 N OAK AVE ROOM 20 ADA, OK 74820
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameAACDC
Other Name TypeDoing Business As (3)
Enumeration Date05-12-2010
Last Update Date05-12-2010


Primary Taxonomy

Taxonomy Code251K00000X
ClassificationPublic Health or Welfare
TypeAgencies
License StateOK

Business Address

AACDC
704 N OAK AVE
ROOM 20
ADA, OK
ZIP 74820
Phone: (580) 332-3001
Fax: (580) 332-3652

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Mailing Address

AACDC
704 N OAK AVE
ROOM 20
ADA, OK
ZIP 74820
Phone: (580) 332-3001
Fax: (580) 332-3652



Authorized Official

Authorized Official NameMR. KARL ERIC LEE MS
Authorized Official TitleCOUNSELOR
Authorized Official Phone(580) 332-3001

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093830713 JOEL RUTLEDGE LPC, LADC
Individual
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE
ADA, OK 74820
(580) 332-3001
1275659625 REGENA FRYE BA
Individual
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE ROOM 20-21
ADA, OK 74820
(580) 332-3001
1588780936 PHYLLIS LEWIS BA
Individual
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE ROOM 20-21
ADA, OK 74820
(580) 332-3001
1043335474MRS. VICKI ORSBURN BA, CADC
Individual
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE ROOM 20-21
ADA, OK 74820
(580) 332-3001
1205952660MR. HERB DARRAS BSW, CADC
Individual
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE ROOM 20-21
ADA, OK 74820
(580) 332-3001
1619172483MR. PHILLIP D SIMMONS BA
Individual
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE ROOM 20
ADA, OK 74820
(580) 332-3001
1104087790 DONNA COPELAND MS
Individual
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE ROOM 20
ADA, OK 74820
(580) 332-3001
1588990857MR. MARCUS POGUE MA
Individual
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE ROOM 20
ADA, OK 74820
(580) 332-3001
1952629628MR. KARL ERIC LEE MS
Individual
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE ROOM 20
ADA, OK 74820
(580) 332-3001
1881948263 CARLY COWART B.S.
Individual
Counselor704 N OAK AVE RM 20
ADA, OK 74820
(580) 332-3001
1013032424ADA AREA CHEMICAL DEPENDENCY, INC.
Organization
Counselor (Addiction (Substance Use Disorder))704 N OAK AVE ROOM 20-21
ADA, OK 74820
(580) 332-3001

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.