| NPI | 1265083380 |
|---|---|
| Doing Business As | LOST RIVER TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JESSICA MULLIN Executive Director 918-533-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2025-02-20 |