12 & 12, Inc.

NPI 1053317883 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1053317883
Enumeration Date 06/27/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name TOM TOM
Position EXECUTIVE DIRECTOR
Phone (918) 664-4224
Fax (918) 663-0203
Practice Location
6333 E SKELLY DR
TULSA OK, 74135-6106, US
Phone (918) 664-4224
Fax (918) 663-0203
Business Location
6333 E SKELLY DR
TULSA OK, 74135-6106, US
Phone (918) 664-4224
Fax (918) 663-0203
Toxanomy
Taxonomy Code 324500000X
License State Oklahoma
License Number 640AD
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According to our database, 12 & 12, Inc. NPI is 1053317883, taxonomy code is 324500000X and license number is 640AD, license state is located at Oklahoma. 12 & 12, Inc. physically located at 6333 E Skelly Dr, Tulsa OK, 74135-6106. NPI Number 1033115704 has the healthcare provider type.

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1053317883 NPI number is provided on an as is basis without warranty of any kind. 1053317883 is maintained by the National Plan & Provider Enumeration System. The contents of 12 & 12, Inc. are for informational purposes only.