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Organization

DESTINY RECOVERY CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANNON LEA HALL AS,BA (EXECUTIVE DIRECTOR)
(580) 798-4421
Entity
Organization

Contact information

Practice address
1004 REPUBLIC ST, ARDMORE, OK 73401-4555
(580) 798-4421
Mailing address
1004 REPUBLIC ST, ARDMORE, OK 73401-4555
(580) 798-4421

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
02/21/2025
Last updated
06/10/2025
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