Organization
COUNSELING AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M ROYSTER LADC(US) (ASSISTANT PROJECT DIRECTOR)
(918) 492-2554
Entity
Organization
Contact information
Practice address
7010 S.YALE, TULSA, OK 74136
(918) 492-2554
(918) 495-0779
Mailing address
7010 S.YALE, TULSA, OK 74136
(918) 492-2554
(918) 495-0779
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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