Individual provider · Type 1 NPI

Mara Jane Hoberg

Children's Substance Abuse Rehabilitation Facility · Lawton, OK

NPI number 1033098942 Active

Practice location

3828 NW Arlington Ave
Lawton, OK 73505-4904

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

About NPI 1033098942

Mara Jane Hoberg's National Provider Identifier is 1033098942, issued on Aug 27, 2025. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Lawton, OK. The record was last updated on Aug 27, 2025.