| Tri-city Substance Abuse Center, Inc. | |
|
214 E Oak Ave Seminole OK 74868-3442 | |
| (405) 382-1112 | |
| (405) 382-5747 |
| Full Name | Tri-city Substance Abuse Center, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 214 E Oak Ave, Seminole, Oklahoma |
| Authorized Official Name and Position | Sharon I Knowles (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4053821112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Substance Abuse Center, Inc. 214 E Oak Ave Seminole OK 74868-3442 Ph: (405) 382-1112 | Tri-city Substance Abuse Center, Inc. 214 E Oak Ave Seminole OK 74868-3442 Ph: (405) 382-1112 |
| NPI Number | 1639294044 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639294044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oklahoma) | Primary |
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