Chickasaw Nation

NPI 1114266152 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1114266152
Enumeration Date 02/12/2013
Last Updated 02/12/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TODD TODD
Position DIRECTOR COMMUNITY BASED SERVICES-
Phone (405) 331-2300
Fax (405) 331-2302
Practice Location
101 ARROWHEAD DR
PAULS VALLEY OK, 73075-5301, US
Phone (405) 331-2300
Fax (405) 331-2302
Business Location
1400 HOPPE BLVD STE 2
ADA OK, 74820-2313, US
Phone (580) 559-0810
Fax (580) 272-5734
Toxanomy
Taxonomy Code 324500000X
License State Oklahoma
License Number 171M00000X
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According to our database, Chickasaw Nation NPI is 1114266152, taxonomy code is 324500000X and license number is 171M00000X, license state is located at Oklahoma. Chickasaw Nation physically located at 101 Arrowhead Dr, Pauls Valley OK, 73075-5301. NPI Number 1033115704 has the healthcare provider type.

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1114266152 NPI number is provided on an as is basis without warranty of any kind. 1114266152 is maintained by the National Plan & Provider Enumeration System. The contents of Chickasaw Nation are for informational purposes only.