person
Martin Maytubby SR.
Substance Abuse Rehabilitation Facility in Ardmore, Oklahoma
NPI 1083923213

Martin Maytubby SR. is a Substance Abuse Rehabilitation Facility based in Ardmore, OK. Martin Maytubby SR. practices in Ardmore, OK. The NPI Number for Martin Maytubby SR. is 1083923213 and holds a License No. 821 (Oklahoma).

The current practice location address for Martin Maytubby SR. is 9 10Th Ave Nw, Ardmore, OK and can be reached out via phone at 580-226-1656. You can also correspond with Martin Maytubby SR. through the mailing address at 9 10TH AVE NW, ARDMORE, OK - 73401-5929 (mailing address contact number: 580-226-1656).

Location: 9 10Th Ave Nw, Ardmore, OK, 73401-5929
person
Provider Profile Details
NPI Number
1083923213
Provider Name
Martin Maytubby SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
9 10Th Ave Nw, Ardmore, OK, 73401-5929
Phone Number
580-226-1656
Fax Number
Provider Enumeration Date
10/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9 10Th Ave Nw
City
State
Zip
73401-5929
Phone Number
580-226-1656
Fax Number
person
Provider Business Mailing Address Details
Address
9 10Th Ave Nw
City
State
Zip
73401-5929
Phone Number
580-226-1656
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
821 (Oklahoma)
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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