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Organization

JACK BROWN CENTER

Active
Other names
Cherokee nation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARREN D. DRY BS (DIRECTOR)
(191) 845-5520
Entity
Organization

Contact information

Practice address
17091 SOUTH MUSKOGEE AVENUE, TAHLEQUAH, OK 74465
(918) 453-5500
Mailing address
21141 S FORREST DR, TAHLEQUAH, OK 74464-7404
(918) 207-0810

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
3261
OK

Other

Enumeration date
01/08/2009
Last updated
01/08/2009
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