NORTHEASTERN HEALTH SYSTEM NPI 1689338519

NPI Information

NORTHEASTERN HEALTH SYSTEM is an addiction (substance use disorder) counselor in Tahlequah, OK. NORTHEASTERN HEALTH SYSTEM NPI is 1689338519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1323 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464-462
Phone: (918) 506-6901

The provider's authorized official is Diana Adrian .
The authorized official title is Provider Enrollment and has the following contact phone number (918) 456-0641.

The enumeration date for this NPI number is 10/27/2021 and was last updated on 10/27/2021.

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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