Individual provider · Type 1 NPI
Lavina Kay Clark
Substance Abuse Rehabilitation Facility · Pawhuska, OK
NPI number
1417297680
Active
Practice location
126 E 6th St
Pawhuska, OK 74056-4204
Fax (918) 287-1096
Mailing address
2207 Bayliss Ave
Pawhuska, OK 74056-9442
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.
3 other providers at this address
Other substance abuse rehabilitation facility providers in Pawhuska
About NPI 1417297680
Lavina Kay Clark's National Provider Identifier is 1417297680, issued on Feb 25, 2013. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Pawhuska, OK. The record was last updated on Feb 25, 2013.