Organization
TRI-CITY SUBSTANCE ABUSE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON I KNOWLES CADC, CCS (EXECUTIVE DIRECTOR)
(580) 332-8773
Entity
Organization
Contact information
Practice address
124 S BROADWAY AVE, ADA, OK 74820-5807
(580) 332-8773
(580) 332-8774
Mailing address
124 S BROADWAY AVE, ADA, OK 74820-5807
(580) 332-8773
(580) 332-8774
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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