12&12 Inc
Organization Active NPI Substance Abuse Rehabilitation Facility · Tulsa, OK
NPI 1659692010 · NPPES record last updated Jun 18, 2010
Key facts
- NPI
- 1659692010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- 12&12 INC
- Practice address
- 6333 E Skelly Dr
Tulsa, OK 74135-6106 - Phone
- (918) 664-4224
- Fax
- (918) 663-0203
- NPI assigned
- Jun 18, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Waynetta Faye Brawdy, CM
- Title
- Casemanager
- Phone
- (918) 664-4224
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
6333 E Skelly Dr
Tulsa, OK 74135-6106
Mailing address
6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone (918) 664-4224
Other providers in Tulsa, OK
- 12 And 12 Inc
- 1St Aid Home Healthcare LLC
- 1St Choice Pharmacy LLC
- 1St Choice Pharmacy LLC
- 1St Family Dental of Tulsa
- 32TCD PLLC
All providers in Tulsa, 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 Jun 18, 2010. 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.