Tri-City Substance Abuse Center, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

TRI-CITY SUBSTANCE ABUSE CENTER, INC.

Practice address

124 S Broadway Ave
Ada, OK 74820-5807

Phone

(580) 332-8773

Fax

(580) 332-8774

NPI assigned

Mar 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sharon I Knowles, CADC, CCS

Title

Executive Director

Phone

(580) 332-8773

Specialties & licenses 1

Addresses

Tax ID family

Tri-City Substance Abuse Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tri-City Substance Abuse Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Seminole, OK
  • NPI 1639294044
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1245401413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205807",
            "telephone_number": "580-332-8773",
            "fax_number": "580-332-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205807",
            "telephone_number": "580-332-8773",
            "fax_number": "580-332-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY SUBSTANCE ABUSE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "580-332-8773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CADC, CCS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Healthcare Plus Inc.
• Penny Totani, LCSW
• Lorianne Towers
• Pamela Michelle Travis, LPC
• Shannon Treat, MS
• Jason Lee Trimmer, BHRS
• Helen Louise Trowbridge, P.T.
• Troy R Norred MD PC
• Troy R Norred MD PC
• Troy R Norred MD PC

• Substance Abuse Rehabilitation Facility in Ada, OK
• Providers in Ada, OK by specialty
• Substance Abuse Rehabilitation Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.