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Organization

CHOCTAW NATION RECOVERY CENTER

Active
Parent organization
CHOCTAW NATION HEALTH CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHOCTAW NATION HEALTH CARE
Authorized official
MR. JACK C AUSTIN JR. MED, CM-D (DIRECTOR)
(918) 567-2389
Entity
Organization

Contact information

Practice address
RR 2 BOX 1600, 13224 SE 202 RD, TALIHINA, OK 74571-9516
(918) 567-2389
(918) 567-2417
Mailing address
RR 2 BOX 1600, TALIHINA, OK 74571-9516
(918) 567-2389
(918) 567-2417

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
344
OK

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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