MODOC TRIBE OF OKLAHOMA is an addiction (substance use disorder) counselor in Wyandotte, OK. MODOC TRIBE OF OKLAHOMA NPI is 1265083380. The provider is registered as an organization entity type.
The provider Is Doing Business As Lost River Treatment Center.
The provider's business location address is:
10025 SOUTH 705 ROAD
WYANDOTTE, OK
ZIP 74370
Phone: (918) 303-5433
The provider's authorized official is Jessica Mullin .
The authorized official title is Executive Director and has the following contact phone number (918) 325-9837.
The enumeration date for this NPI number is 9/20/2019 and was last updated on 6/7/2023.