Tri-city Substance Abuse Center, Inc.

NPI 1245401413 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1245401413
Enumeration Date 03/17/2008
Last Updated 03/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SHARON I SHARON
Position EXECUTIVE DIRECTOR
Phone (580) 332-8773
Fax (580) 332-8774
Practice Location
124 S BROADWAY AVE
ADA OK, 74820-5807, US
Phone (580) 332-8773
Fax (580) 332-8774
Business Location
124 S BROADWAY AVE
ADA OK, 74820-5807, US
Phone (580) 332-8773
Fax (580) 332-8774
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Tri-city Substance Abuse Center, Inc. NPI is 1245401413, taxonomy code is 324500000X Tri-city Substance Abuse Center, Inc. physically located at 124 S Broadway Ave, Ada OK, 74820-5807. NPI Number 1033115704 has the healthcare provider type.

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1245401413 NPI number is provided on an as is basis without warranty of any kind. 1245401413 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-city Substance Abuse Center, Inc. are for informational purposes only.