Organization
TRICITY SUBSTANCE ABUSE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON I. KNOWLES CADC (EXECUTIVE DIRECTOR)
(405) 382-1112
Entity
Organization
Contact information
Practice address
214 E OAK AVE, SEMINOLE, OK 74868-3442
(405) 382-1112
Mailing address
7855 HIGHWAY 1, CALVIN, OK 74531-5029
(405) 645-1057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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