OSAGE NATION PRT is a substance abuse rehabilitation facility in Pawhuska, OK. The provider is 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. OSAGE NATION PRT NPI is 1710240825. The provider is registered as an organization entity type.
The provider's business location address is:
1011 GRANDVIEW AVE
PAWHUSKA, OK
ZIP 74056-023
Phone: (918) 287-5420
Fax: (918) 287-3721
The provider's authorized official is Louis Gray .
The authorized official title is Coordinator and has the following contact phone number (918) 287-5420.
The CLIA number assigned to this NPI record is 37D0916626 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/22/2012 and was last updated on 6/22/2012.