Organization
LANDMARK RECOVERY OUTPATIENT SERVICES, LLC
Active
Other names
Landmark Recovery of Tulsa Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PROCHUT (CREDENTIALING SPECIALIST)
(480) 619-8556
Entity
Organization
Contact information
Practice address
1805 E 15TH ST, TULSA, OK 74104-4610
(888) 448-0302
Mailing address
4835 E CACTUS RD STE 130, SCOTTSDALE, AZ 85254-3545
(888) 448-0302
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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