Individual provider · Type 1 NPI
Denise Evyonne Engram
Substance Abuse Rehabilitation Facility · Broken Arrow, OK
NPI number
1144627233
Active
Practice location
4723 S Ash Dr
Broken Arrow, OK 74011-3464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1144627233
Denise Evyonne Engram's National Provider Identifier is 1144627233, issued on Dec 4, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Broken Arrow, OK. The record was last updated on Dec 4, 2014.