Gateway To Prevention & Recovery Stillwater

NPI 1093154197 - Clinic/Center - 261QM0801X

NPI Details
NPI 1093154197
Enumeration Date 06/21/2013
Last Updated 06/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SARAH E SARAH
Position CEO
Phone (405) 372-0198
Fax (405) 372-0283
Practice Location
801 S MAIN ST STE 5
STILLWATER OK, 74074-4630, US
Phone (405) 372-0198
Fax (405) 372-0283
Business Location
1010 E 45TH ST
SHAWNEE OK, 74804-2202, US
Phone (405) 273-1170
Fax (405) 275-5132
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Gateway To Prevention & Recovery Stillwater NPI is 1093154197, taxonomy code is 261QM0801X Gateway To Prevention & Recovery Stillwater physically located at 801 S Main St Ste 5, Stillwater OK, 74074-4630. NPI Number 1033115704 has the healthcare provider type.

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1093154197 NPI number is provided on an as is basis without warranty of any kind. 1093154197 is maintained by the National Plan & Provider Enumeration System. The contents of Gateway To Prevention & Recovery Stillwater are for informational purposes only.