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Mrs. Lavina Kay Clark
Substance Abuse Rehabilitation Facility in Pawhuska, Oklahoma
NPI 1417297680

Lavina Kay Clark is a Substance Abuse Rehabilitation Facility based in Pawhuska, OK. Lavina Kay Clark practices in Pawhuska, OK. The NPI Number for Lavina Kay Clark is 1417297680 and holds a License No. (Oklahoma).

The current practice location address for Lavina Kay Clark is 126 E 6Th St, Pawhuska, OK and can be reached out via phone at 918-287-5425 and via fax at 918-287-1096.

Location: 126 E 6Th St, Pawhuska, OK, 74056-9442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417297680
Provider Name
Lavina Kay Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
126 E 6Th St, Pawhuska, OK, 74056-9442
Phone Number
918-287-5425
Fax Number
918-287-1096
Provider Enumeration Date
02/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
126 E 6Th St
City
Pawhuska
State
Oklahoma
Zip
74056-4204
Phone Number
918-287-5425
Fax Number
918-287-1096
person
Provider Business Mailing Address Details
Address
126 E 6Th St
City
Pawhuska
State
Oklahoma
Zip
74056-4204
Phone Number
918-287-5425
Fax Number
918-287-1096
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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