Individual provider · Type 1 NPI

Dylan Victor Leslie

Substance Abuse Rehabilitation Facility · Canadian, OK

NPI number 1962811802 Active

Practice location

69 Arrowhead Loop
Canadian, OK 74425-5012

Call (918) 339-5800 Map

Fax (918) 339-5801

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 1962811802

Dylan Victor Leslie's National Provider Identifier is 1962811802, issued on Aug 5, 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 5, 2014.