Organization
LANDMARK RECOVERY OUTPATIENT SERVICES, LLC
Active
Other names
Landmark Recovery of Oklahoma City Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PROCHUT (CREDENTIALING SPECIALIST)
(480) 619-8556
Entity
Organization
Contact information
Practice address
4825 NW 23RD ST, OKLAHOMA CITY, OK 73127-1800
(888) 448-0302
Mailing address
4835 E CACTUS RD STE 130, SCOTTSDALE, AZ 85254-3545
(888) 448-0302
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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