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Modoc Tribe Of Oklahoma
Methadone Clinic in Wyandotte, Oklahoma
NPI 1265083380

Modoc Tribe Of Oklahoma is a Methadone Clinic based in Miami, OK and is specialized in Methadone. Modoc Tribe Of Oklahoma practices in Wyandotte, OK. The NPI Number for Modoc Tribe Of Oklahoma is 1265083380 and holds a License No. (Oklahoma).

The current practice location address for Modoc Tribe Of Oklahoma is 10025 South 705 Road, Wyandotte, OK and can be reached out via phone at 918-303-5433.

Location: 10025 South 705 Road, Wyandotte, OK, 74354-1011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265083380
Provider Name
Modoc Tribe Of Oklahoma
Credential
Provider Entity Type
Organization
Address
10025 South 705 Road, Wyandotte, OK, 74354-1011
Phone Number
918-303-5433
Fax Number
Provider Enumeration Date
09/20/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10025 South 705 Road
City
Wyandotte
State
Oklahoma
Zip
74370
Phone Number
918-303-5433
Fax Number
person
Provider Business Mailing Address Details
Address
10025 South 705 Road
City
Wyandotte
State
Oklahoma
Zip
74370
Phone Number
918-303-5433
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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