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Jack Brown Treatment Center
Children's Substance Abuse Rehabilitation Facility in Tahlequah, Oklahoma
NPI 1780939223

Jack Brown Treatment Center is a Children's Substance Abuse Rehabilitation Facility based in Park Hill, OK and is specialized in Substance Abuse Treatment, Children. Jack Brown Treatment Center practices in Tahlequah, OK. The NPI Number for Jack Brown Treatment Center is 1780939223 and holds a License No. (Oklahoma).

The current practice location address for Jack Brown Treatment Center is 17091 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-453-5501 and via fax at 918-458-0499.

Location: 17091 S Muskogee Ave, Tahlequah, OK, 74451-0397
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780939223
Provider Name
Jack Brown Treatment Center
Credential
Provider Entity Type
Organization
Address
17091 S Muskogee Ave, Tahlequah, OK, 74451-0397
Phone Number
918-453-5501
Fax Number
918-458-0499
Provider Enumeration Date
07/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17091 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74465
Phone Number
918-453-5501
Fax Number
918-458-0499
person
Provider Business Mailing Address Details
Address
17091 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74465
Phone Number
918-453-5501
Fax Number
918-458-0499
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
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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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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