NORTHWEST SUBSTANCE ABUSE TREATMENT CENTER
NPI 1942334768
Substance Abuse Rehabilitation Facility in Waynoka, OK

Active since March 15, 2007
1095 NICKERSON ST, WAYNOKA, OK 73860(580) 824-0674(580) 824-0676 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northwest Substance Abuse Treatment Center NPPES

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

NORTHWEST SUBSTANCE ABUSE TREATMENT CENTER (NPI 1942334768) is a healthcare organization registered as a substance abuse rehabilitation facility in Waynoka, Oklahoma and active in the NPI registry since March 2007. The organization lists Sidney Don Smiley, Chairman Of The Trustee Board, as its authorized official.

NPPES Registry Identity

NPI1942334768
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWAYNOKA MENTAL HEALTH AUTHORITY
Location Address1095 NICKERSON STWaynoka, OK 73860-1252
Mailing AddressPo Box 135Waynoka, OK 73860-0135 · (580) 824-0674 · Fax (580) 824-0676
Fax(580) 824-0676
Organization SubpartNo
Authorized OfficialSidney Don SmileyChairman Of The Trustee Board · (580) 824-0674
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1942334768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in OK · 76244
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

Other Names 1

Doing Business AsNorthwest Substance Abuse Treatment Center

Other Identifiers 1

Other54197143OK · Tpin Number

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.

Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Counselor (Addiction (Substance Use Disorder))
1095 NICKERSON ST
WAYNOKA, OK 73860
Counselor (Addiction (Substance Use Disorder))
1095 NICKERSON ST
WAYNOKA, OK 73860
Social Worker (Clinical)
1095 NICKERSON ST
WAYNOKA, OK 73860
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942334768, enumerated as an "organization" on March 15, 2007.

The provider is located at 1095 NICKERSON ST WAYNOKA, OK 73860 and the phone number is (580) 824-0674.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.