| NPI | 1194297341 |
|---|---|
| Doing Business As | LANDMARK RECOVERY OF TULSA OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | JESSICA PROCHUT Credentialing Specialist 480-619-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |