Organization
DOOR 2 UR FUTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LYNN CASBY (CEO)
(210) 954-6004
Entity
Organization
Contact information
Practice address
1050 E 61ST ST APT 89, TULSA, OK 74136-1397
(210) 954-6004
Mailing address
1050 E 61ST APT 89, TULSA, OK 74136
(210) 954-6004
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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