Organization
ATHENA REHBILITATION SERVICES, LLC
Active
Other names
Vizown
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WALKER (EXECUTIVE DIRECTOR)
(405) 550-1750
Entity
Organization
Contact information
Practice address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 550-1750
(405) 589-8227
Mailing address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 550-1750
(405) 589-8227
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
12457565
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12455678
STATE LICENSE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
OK
Enumeration date
11/17/2015
Last updated
11/17/2015
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