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NPI Profile for SUZANNAH L LE BROCQ in TULSA, OK.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1568683530 |
|
| Status | Active | |
| Credentials | MPHIL | |
| Entity | Individual | |
| Enumeration date | 05/01/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SUZANNAH L LE BROCQ
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SUZANNAH L LE BROCQ, MPHIL