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.
Location: 1721 E 72Nd St, Tulsa, OK, 74136-5372
Provider Profile Details
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
Provider Business Practice Location Address Details
Address
1721 E 72Nd St
City
State
Zip
74136-5372
Phone Number
813-388-3773
Fax Number
Provider Business Mailing Address Details
Address
1721 E 72Nd St
City
State
Zip
74136-5372
Phone Number
813-388-3773
Fax Number
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
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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