Organization
STATE OF OKLAHOMA
Active
Parent organization
ODMHSAS
Other names
Transition's Recovery Center, Vinita
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODMHSAS
Authorized official
JO BETH FANCHER (REIMBURSEMENT DIRECTOR)
(405) 573-3949
Entity
Organization
Contact information
Practice address
24919 S 4420 RD, VINITA, OK 74301-5529
(918) 256-9120
Mailing address
PO BOX 69, VINITA, OK 74301-0069
(918) 256-7841
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/14/2007
Last updated
01/10/2023
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