NPI 1407061088
State of Oklahoma
Practice location
- Address
- 24919 S 4420 Rd, Vinita, OK 74301-5529
- Phone
- (918) 256-9120
- Mailing address
- PO Box 69, Vinita, OK 74301-0069
Authorised official
- Name
- Jo Beth Fancher
- Title
- Reimbursement Director
- Phone
- (405) 573-3949
Registered specialties (2)
Psychiatric Hospital Unit
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1407061088
- Entity type
- Organization
- NPI issued
- 14 May 2007
- Record last updated
- 10 Jan 2023
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.