Organization
LANDMARK RECOVERY OF LOUISVILLE LLC
Active
Other names
Landmark Recovery of Oklahoma City
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PROCHUT DO (CREDENTIALING SPECIALIST)
(480) 619-8556
Entity
Organization
Contact information
Practice address
4825 NW 23RD ST, OKLAHOMA CITY, OK 73127-1800
(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
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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