Organization · Type 2 NPI
Jack Brown Treatment Center
Children's Substance Abuse Rehabilitation Facility · Tahlequah, OK
Practice location
17091 S Muskogee Ave
Tahlequah, OK 74465
Fax (918) 458-0499
Mailing address
PO Box 397
Park Hill, OK 74451-0397
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | None listed |
Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Another provider at this address
About NPI 1780939223
Jack Brown Treatment Center's National Provider Identifier is 1780939223, issued on Jul 20, 2012. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 20, 2012.