NPI 1073766465

Alpha 2

Organisation Substance Abuse Rehabilitation Facility Tonkawa, OK

Practice location

Address: 1608 N. Main St, Tonkawa, OK 74653
Phone: (580) 628-2539
Fax: (580) 628-4316
Mailing address: 1608 N Main St, Tonkawa, OK 74653-1038

Authorised official

Name: Kari Scott
Title: Executive Director
Phone: (580) 628-2539

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Oklahoma →

Registry record

NPI: 1073766465
Entity type: Organization
NPI issued: 29 Oct 2008
Record last updated: 29 Oct 2008

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.