Organization Name: | DRUG RECOVERY INC |
NPI Number: | 1356442743 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDIE NAYFA (EXECUTIVE VP) |
Mailing Address: | 3033 N Walnut Okc |
State: | OK US |
Postal Code: | 731052832 |
Phone Number: | 4052301102 |
Fax Number: | 4052363421 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CARF 205299 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |