Organization
OAK ST HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILAS HARRIS (OWNER)
(952) 666-9915
Entity
Organization
Contact information
Practice address
3201 E OAK ST, PHOENIX, AZ 85008
(952) 666-9915
Mailing address
3201 E OAK ST, PHOENIX, AZ 85008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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