| NPI | 1265083380 |
|---|---|
| Doing Business As | LOST RIVER TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JESSICA MULLIN Executive Director 918-325-9837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-06-07 |