| Restoring Lives Program | |
|
3308 W 61st St Tulsa OK 74132-1223 | |
| (918) 445-2900 | |
| (918) 445-7711 |
| Full Name | Restoring Lives Program |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 3308 W 61st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Dustan Evans (DIRECTOR) |
| Authorized Official Contact | 9184452900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Lives Program 3308 W 61st St Tulsa OK 74132-1223 Ph: (918) 445-2900 | Restoring Lives Program 3308 W 61st St Tulsa OK 74132-1223 Ph: (918) 445-2900 |
| NPI Number | 1801156963 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801156963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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