MR. BRIAN CHARLES CAGLE NPI 1164016192

NPI Information

MR. Brian Charles Cagle is a substance abuse rehabilitation facility in Tulsa, 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. MR. Brian Charles Cagle NPI is 1164016192. 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:

1239 S QUINCY AVE APT 16
TULSA, OK
ZIP 74120-277
Phone: (918) 764-0662

The enumeration date for this NPI number is 2/20/2021 and was last updated on 2/20/2021.

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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