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Denise Evyonne Engram
Substance Abuse Rehabilitation Facility in Broken Arrow, Oklahoma
NPI 1144627233

Denise Evyonne Engram is a Substance Abuse Rehabilitation Facility based in Broken Arrow, OK. Denise Evyonne Engram practices in Broken Arrow, OK. The NPI Number for Denise Evyonne Engram is 1144627233 and holds a License No. (Oklahoma).

The current practice location address for Denise Evyonne Engram is 4723 S Ash Dr, Broken Arrow, OK and can be reached out via phone at 918-313-9602.

Location: 4723 S Ash Dr, Broken Arrow, OK, 74011-3464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144627233
Provider Name
Denise Evyonne Engram
Credential
Provider Entity Type
Individual
Gender
Female
Address
4723 S Ash Dr, Broken Arrow, OK, 74011-3464
Phone Number
918-313-9602
Fax Number
Provider Enumeration Date
12/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4723 S Ash Dr
City
Broken Arrow
State
Oklahoma
Zip
74011-3464
Phone Number
918-313-9602
Fax Number
person
Provider Business Mailing Address Details
Address
4723 S Ash Dr
City
Broken Arrow
State
Oklahoma
Zip
74011-3464
Phone Number
918-313-9602
Fax Number
person
Provider's Taxonomy Details 1
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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