| Palmer Drug Abuse Program | |
|
5319 S Lewis Ave Tulsa OK 74105-6500 | |
| (918) 832-7763 | |
| (918) 292-8250 |
| Full Name | Palmer Drug Abuse Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5319 S Lewis Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Greg Sneed (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9188327763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmer Drug Abuse Program 5319 S Lewis Ave Tulsa OK 74105-6500 Ph: (918) 832-7763 | Palmer Drug Abuse Program 5319 S Lewis Ave Tulsa OK 74105-6500 Ph: (918) 832-7763 |
| NPI Number | 1629359880 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 02/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629359880 | NPI | - | NPPES |
| 100735150 C | Medicaid | OK | |
| 100735150 B | Medicaid | OK | |
| 100735150 A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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