| Organization Name: | CLAY CROSSING FOR WOMEN LLC |
| NPI Number: | 1467592642 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTHA CAROL SIMPSON (CLINICAL/PROGRAM DIRECTOR) |
| Mailing Address: | 23899 State Highway 74 Purcell |
| State: | OK US |
| Postal Code: | 730806964 |
| Phone Number: | 4055272575 |
| Fax Number: | 4055272863 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 12/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |