Whalio Doctors

NPI 1205307220

Landmark Recovery of Louisville LLC

Organisation Substance Abuse Rehabilitation Facility Oklahoma City, OK

Practice location

Address
4825 NW 23rd St, Oklahoma City, OK 73127-1800
Phone
(888) 448-0302
Mailing address
4835 E Cactus Rd STE 130, Scottsdale, AZ 85254-3545

Authorised official

Name
Jessica Prochut
Title
Credentialing Specialist
Phone
(480) 619-8556

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1205307220
Entity type
Organization
NPI issued
17 Dec 2018
Record last updated
17 Dec 2018

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.