Individual provider · Type 1 NPI

Suzannah Louise Le Brocq, MPHIL

Substance Abuse Rehabilitation Facility · Tulsa, OK

NPI number 1568683530 Active

Practice location

12&12 Inc.,, 6333 East Skelly Drive
Tulsa, OK 74135

Call (918) 664-4224 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

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About NPI 1568683530

Suzannah Louise Le Brocq, MPHIL's National Provider Identifier is 1568683530, issued on May 1, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 8, 2007.