Organization · Type 2 NPI
Jack Brown Center
Substance Abuse Rehabilitation Facility · Tahlequah, OK
NPI number
1437396850
Active
Practice location
17091 South Muskogee Avenue
Tahlequah, OK 74465
Mailing address
21141 S Forrest Dr
Tahlequah, OK 74464-7404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 3261 (OK) |
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.
Another provider at this address
Other substance abuse rehabilitation facility providers in Tahlequah
About NPI 1437396850
Jack Brown Center's National Provider Identifier is 1437396850, issued on Jan 8, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Tahlequah, OK. The record was last updated on Jan 8, 2009.