Landmark Recovery Outpatient Services, Llc | |
1805 E 15th St Tulsa OK 74104-4610 | |
(888) 448-0302 | |
Not Available |
Full Name | Landmark Recovery Outpatient Services, Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1805 E 15th St, Tulsa, Oklahoma |
Authorized Official Name and Position | Jessica Prochut (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4806198556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Landmark Recovery Outpatient Services, Llc 4835 E Cactus Rd Ste 130 Scottsdale AZ 85254-3545 Ph: (888) 448-0302 | Landmark Recovery Outpatient Services, Llc 1805 E 15th St Tulsa OK 74104-4610 Ph: (888) 448-0302 |
NPI Number | 1194297341 |
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Provider Enumeration Date | 12/28/2018 |
Last Update Date | 12/28/2018 |
Identifier | Type | State | Issuer |
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1194297341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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