Justin Dwayne Ross - Canadian, OK

Justin Dwayne Ross

Substance Abuse Rehabilitation Facility in Canadian, Oklahoma

NPI 1023420098

Justin Dwayne Ross is a Substance Abuse Rehabilitation Facility based in Canadian, OK. Justin Dwayne Ross practices in Canadian, OK. The NPI Number for Justin Dwayne Ross is 1023420098 and holds a License No. (Oklahoma).

The current practice location address for Justin Dwayne Ross is 69 Arrowhead Loop, Canadian, OK and can be reached out via phone at 918-339-5800 and via fax at 918-339-5801.

Location: 69 Arrowhead Loop, Canadian, OK, 74425-5012

NPI Number

1023420098

Provider Name

Justin Dwayne Ross

Credential

Provider Entity Type

Individual

Gender

Male

Address

69 Arrowhead Loop, Canadian, OK, 74425-5012

Phone Number

918-339-5800

Fax Number

918-339-5801

Provider Enumeration Date

05/27/2014

Last Update Date

03/09/2024

Address

69 Arrowhead Loop

City

Canadian

State

Oklahoma

Zip

74425-5012

Phone Number

918-339-5800

Fax Number

918-339-5801

Address

69 Arrowhead Loop

City

Canadian

State

Oklahoma

Zip

74425-5012

Phone Number

918-339-5800

Fax Number

918-339-5801

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Taxonomy

324500000X

License No.

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Definition

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.

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