Organization
MONTGOMERY CARE CENTER
Active
Organization
MONTGOMERY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL MONTGOMERY (MANAGER)
(720) 472-1938
Entity
Organization
Contact information
Practice address
321 S BOSTON AVE STE 300, TULSA, OK 74103-3311
(720) 472-1938
Mailing address
621 PARALLEL AVE, KANSAS CITY, KS 66101-1620
(720) 472-1938
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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