JACK BROWN CENTER is a substance abuse rehabilitation facility in Tahlequah, OK. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. JACK BROWN CENTER NPI is 1437396850. The provider is registered as an organization entity type.
The provider Other Name Is Cherokee Nation.
The provider's business location address is:
17091 SOUTH MUSKOGEE AVENUE
TAHLEQUAH, OK
ZIP 74465
Phone: (918) 453-5500
The provider's authorized official is Darren D. Dry .
The authorized official title is Director and has the following contact phone number (191) 845-5520.
The CLIA number assigned to this NPI record is 37D2207695 - other - adolescent res treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/8/2009 and was last updated on 1/8/2009.