12&12 INC NPI 1659692010

NPI Information

12&12 INC 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. 12&12 INC NPI is 1659692010. The provider is registered as an organization entity type.

The provider's business location address is:

6333 E SKELLY DR
TULSA, OK
ZIP 74135-106
Phone: (918) 664-4224
Fax: (918) 663-0203

The provider's authorized official is Waynetta Faye Brawdy .
The authorized official title is Casemanager and has the following contact phone number (918) 664-4224.

The enumeration date for this NPI number is 6/18/2010 and was last updated on 6/18/2010.

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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