Organization
TIGER MOUNTAIN RECOVERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH M LEDFORD (PROGRAM DIRECTOR)
(918) 319-7545
Entity
Organization
Contact information
Practice address
316 W MAIN ST, HENRYETTA, OK 74437
(918) 650-9292
(918) 650-9720
Mailing address
316 W MAIN ST, HENRYETTA, OK 74437-4240
(918) 650-9292
(918) 650-9720
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
OK
Other
Enumeration date
02/14/2012
Last updated
07/13/2018
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