DYLAN VICTOR LESLIE NPI 1962811802

NPI Information

Dylan Victor Leslie is a substance abuse rehabilitation facility in Canadian, 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. Dylan Victor Leslie NPI is 1962811802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

69 ARROWHEAD LOOP
CANADIAN, OK
ZIP 74425-012
Phone: (918) 339-5800
Fax: (918) 339-5801

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.

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:

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