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Mr. Brian Charles Cagle
Substance Abuse Rehabilitation Facility in Tulsa, Oklahoma
NPI 1164016192

Brian Charles Cagle is a Substance Abuse Rehabilitation Facility based in Tulsa, OK. Brian Charles Cagle practices in Tulsa, OK. The NPI Number for Brian Charles Cagle is 1164016192 and holds a License No. (Oklahoma).

The current practice location address for Brian Charles Cagle is 1239 S Quincy Ave Apt 16, Tulsa, OK and can be reached out via phone at 918-764-0662.

Location: 1239 S Quincy Ave Apt 16, Tulsa, OK, 74120-5277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164016192
Provider Name
Brian Charles Cagle
Credential
Provider Entity Type
Individual
Gender
Male
Address
1239 S Quincy Ave Apt 16, Tulsa, OK, 74120-5277
Phone Number
918-764-0662
Fax Number
Provider Enumeration Date
02/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1239 S Quincy Ave Apt 16
City
Tulsa
State
Oklahoma
Zip
74120-5277
Phone Number
918-764-0662
Fax Number
person
Provider Business Mailing Address Details
Address
1239 S Quincy Ave Apt 16
City
Tulsa
State
Oklahoma
Zip
74120-5277
Phone Number
918-764-0662
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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