NPI 1073109112

Country Road Operations LLC

Organisation Substance Abuse Rehabilitation Facility Tecumseh, OK

Practice location

Address: 24962 Okay Rd, Tecumseh, OK 74873-6504
Phone: (405) 253-2020

Authorised official

Name: Daniel Mandelbaum
Title: Ceo
Phone: (718) 570-6018

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Oklahoma →

Registry record

NPI: 1073109112
Entity type: Organization
NPI issued: 14 Dec 2020
Record last updated: 14 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.