National Provider Identifier Database

JACK BROWN CENTER
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

JACK BROWN CENTER
17091 SOUTH MUSKOGEE AVENUE
TAHLEQUAH, OK74465
Phone: 918-453-5500
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for JACK BROWN CENTER

NPI Number 1437396850
Legal business name
LBN
JACK BROWN CENTER
Authorized official DARREN DRY - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/08/2009
Last updated 01/08/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 3261

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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