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ABLE RECOVERY 1 LLC NPI 1770944852


NPI Information

NPI: 1770944852
Provider Name: ABLE RECOVERY 1 LLC

Other Name: 'ABLE RECOVERY 1, LLC

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 37D2121670

Address:
4901 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK
ZIP 73119
Phone: (405) 605-4005
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ABLE RECOVERY 1 LLC is an addiction (substance use disorder) counselor in Oklahoma City, OK. ABLE RECOVERY 1 LLC NPI is 1770944852. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is 'able Recovery 1, Llc.

The provider's business location address is:

4901 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK
ZIP 73119-945
Phone: (405) 605-4005
Fax: (405) 601-2023

The provider's authorized official is Salman Alam .
The authorized official title is Authorized Official and has the following contact phone number (580) 340-0525.

The CLIA number assigned to this NPI record is 37D2121670 - other - substance abuse facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 8/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200708750AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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