Organization
PALMER CONTINUUM OF CARE
Active
Other names
Palmer Drug Abuse Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG SNEED (EXECUTIVE DIRECTOR)
(918) 832-7763
Entity
Organization
Contact information
Practice address
5319 S LEWIS AVE, TULSA, OK 74105-6500
(918) 832-7763
(918) 292-8250
Mailing address
5319 S LEWIS AVE, TULSA, OK 74105-6500
(918) 832-7763
(918) 292-8250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100735150 A
—
OK
05
—
100735150 B
—
OK
05
—
100735150 C
—
OK
Enumeration date
09/01/2011
Last updated
02/24/2016
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