Individual provider · Type 1 NPI

Derry Hallmark

Substance Abuse Rehabilitation Facility · Canadian, OK

NPI number 1699174284 Active

Practice location

69 Arrowhead Loop
Canadian, OK 74425-5012

Call (918) 339-5800 Map

Fax (918) 339-5832

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 1699174284

Derry Hallmark's National Provider Identifier is 1699174284, issued on Aug 19, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Canadian, OK. The record was last updated on Aug 19, 2014.