Northeastern Oklahoma Council on Alcoholism, Inc.
Organization Active NPI Substance Abuse Rehabilitation Facility · Commerce, OK
NPI 1336346279 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1336346279
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- NORTHEASTERN OKLAHOMA COUNCIL ON ALCOHOLISM, INC.
- Practice address
- 304 N Mickey Mantle Blvd
Commerce, OK 74339-1110 - Phone
- (918) 675-4100
- Fax
- (918) 675-4615
- NPI assigned
- Jul 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robin E Still, MS, LPC, LADC
- Title
- Interim Director
- Phone
- (918) 675-4100
Practitioners 42
-
Andrea Dawn Cummings, B.S.
-
Shemaiah Davis, LPC
-
Eric Goodpaster, TEACHING CERTIFICATE
National Provider Directory
Locations
304 N Mickey Mantle Blvd
Commerce, OK 74339
Phone (918) 253-6548
130 W Steve Owens Blvd
Miami, OK 74354
Phone (918) 542-2845
120 E Illinois Ave
Ste 303
Vinita, OK 74301
Phone (918) 256-7171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
304 N Mickey Mantle Blvd
Commerce, OK 74339-1110
Mailing address
PO Box 1271
Miami, OK 74355-1271
Phone (918) 675-4100
Other practice location 1
120 E Illinois Ave Ste 303
Vinita, OK 74301-3227
Phone (918) 256-7171
Other practice location 2
202 S. 5th
Jay, OK 74346
Phone (918) 253-6548
Other practice location 3
130 W Steve Owens Blvd
Miami, OK 74354-7629
Phone (918) 542-2845
Other providers in Commerce, OK
- Eastwood Manor, LLC
- Greg Fent
- Johnny Frost
- Joseph Goldman
- Lisha Lancaster
- Tracy Leann Rider
- James Shull
All providers in Commerce, OK · Substance Abuse Rehabilitation Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.