MRS. LAVINA KAY CLARK NPI 1417297680

NPI Information

MRS. Lavina Kay Clark is a substance abuse rehabilitation facility in Pawhuska, 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. MRS. Lavina Kay Clark NPI is 1417297680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

126 E 6TH ST
PAWHUSKA, OK
ZIP 74056-204
Phone: (918) 287-5425
Fax: (918) 287-1096

The enumeration date for this NPI number is 2/25/2013 and was last updated on 2/25/2013.

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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