Healthcare Provider Details

I. General information

NPI: 1033252846
Provider Name (Legal Business Name): CATHOLIC CHARITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 KNOX AVE
CLINTON OK
73601-4349
US

IV. Provider business mailing address

1217 KNOX AVE
CLINTON OK
73601-4349
US

V. Phone/Fax

Practice location:
  • Phone: 580-323-6363
  • Fax:
Mailing address:
  • Phone: 580-323-6363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number14
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number2322
License Number StateOK

VIII. Authorized Official

Name: EILEEN LORETTA MCGEE
Title or Position: COORDINATOR
Credential: LPC, LADC
Phone: 580-323-6363