Absentee Shawnee Counseling Services
Organization Active NPI Substance Use Disorder Rehabilitation Hospital Unit · Oklahoma City, OK
NPI 1376742585 · NPPES record last updated Jan 24, 2012
Key facts
- NPI
- 1376742585
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit 276400000X
- License
- ODMHSAS (OK)
- Legal business name
- ABSENTEE SHAWNEE COUNSELING SERVICES
- Practice address
- 1301 SE 59TH St
Oklahoma City, OK 73129-7307 - Phone
- (405) 672-3033
- Fax
- (405) 672-8371
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Dan Cross, MDIV, LADC
- Title
- Executive Director
- Phone
- (405) 672-3033
National Provider Directory
Locations
1301 SE 59th St
Oklahoma City, OK 73129
Phone (405) 632-9631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | ODMHSAS | OK | Yes |
Addresses
Primary practice location
1301 SE 59TH St
Oklahoma City, OK 73129-7307
Mailing address
1301 SE 59TH Street
Oklahoma City, OK 73129-7307
Phone (405) 672-3033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417289356 | Medicaid | OK | |
| 1538363320 | Medicaid | OK | |
| 1750682001 | Medicaid | OK | |
| 1376775775 | Medicaid | OK | |
| 1639409626 | Medicaid | OK |
Other providers in Oklahoma City, OK
- Rachel Abram
- Carrie Elizabeth Abrams
- Fatima N Abrantes-Pais
- Eleanor Abreo
- Nitin Abrol
- Absf, LLC
- Absf, LLC
- Zoie Elizabeth Absher
- Absolute Best Care Oklahoma LLC
- Absolute Confidential Counseling PLLC
All providers in Oklahoma City, OK · Substance Use Disorder Rehabilitation Hospital Unit in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2012. 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.