| Tricity Substance Abuse Center | |
|
214 E Oak Ave Seminole OK 74868-3442 | |
| (405) 382-1112 | |
| Not Available |
| Full Name | Tricity Substance Abuse Center |
|---|---|
| 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 |
|---|---|
| Tricity Substance Abuse Center 7855 Highway 1 Calvin OK 74531-5029 Ph: (405) 645-1057 | Tricity Substance Abuse Center 214 E Oak Ave Seminole OK 74868-3442 Ph: (405) 382-1112 |
| NPI Number | 1396962544 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396962544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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