ARCADIA TRAILS INTEGRIS CENTER FOR ADDICTION RECOVERY LLC NPI 1548727209

NPI Information

  • NPI: 1548727209
  • Provider Name: ARCADIA TRAILS INTEGRIS CENTER FOR ADDICTION RECOVERY LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 37D2164291
  • Address: 4851 INTEGRIS PARKWAY
    EDMOND, OK
    ZIP 73034
  • Phone: (405) 216-2500

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NPI Details

ARCADIA TRAILS INTEGRIS CENTER FOR ADDICTION RECOVERY LLC is a substance abuse rehabilitation facility in Edmond, 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. ARCADIA TRAILS INTEGRIS CENTER FOR ADDICTION RECOVERY LLC NPI is 1548727209. The provider is registered as an organization entity type.

The provider's business location address is:

4851 INTEGRIS PARKWAY
EDMOND, OK
ZIP 73034
Phone: (405) 216-2500

The provider's authorized official is Brent Davis .
The authorized official title is Vice President and has the following contact phone number (405) 949-3774.

The CLIA number assigned to this NPI record is 37D2164291 - other - residential addiction rec with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2019 and was last updated on 2/28/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

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This page was last updated on: 3/30/2025

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