Cedric Glenn - Tulsa, OK - NPI 1114321486

Cedric Glenn

Substance Abuse Rehabilitation Facility in Tulsa, Oklahoma

NPI 1114321486

Cedric Glenn is a Substance Abuse Rehabilitation Facility based in Tulsa, OK. Cedric Glenn practices in Tulsa, OK. The NPI Number for Cedric Glenn is 1114321486 and holds a License No. (Oklahoma).

The current practice location address for Cedric Glenn is 1721 E 72Nd St, Tulsa, OK and can be reached out via phone at 813-388-3773. You can also correspond with Cedric Glenn through the mailing address at 1721 E 72ND ST, TULSA, OK - 74136-5372 (mailing address contact number: 813-388-3773).

Location: 1721 E 72Nd St, Tulsa, OK, 74136-5372

NPI Number

1114321486

Provider Name

Cedric Glenn

Credential

Provider Entity Type

Individual

Gender

Male

Address

1721 E 72Nd St, Tulsa, OK, 74136-5372

Phone Number

813-388-3773

Fax Number

Provider Enumeration Date

10/15/2014

Last Update Date

03/09/2024

Address

1721 E 72Nd St

City

Tulsa

State

Oklahoma

Zip

74136-5372

Phone Number

813-388-3773

Fax Number

Address

1721 E 72Nd St

City

Tulsa

State

Oklahoma

Zip

74136-5372

Phone Number

813-388-3773

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

()

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Taxonomy

324500000X

License No.

()

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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