NPI | 1487273223 |
---|---|
Doing Business As | LEGACY HEALTH |
Entity Type | Organization |
Authorized Contact | JOYCE ANN BROWN Physician/Medical Director 918-408-5685 |
Organization Subpart ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP1600X Counselor, Pastoral | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
1041C0700X Social Worker, Clinical | |
133NN1002X Nutritionist, Nutrition, Education | |
163W00000X Registered Nurse | |
164W00000X Licensed Practical Nurse | |
202C00000X Independent Medical Examiner | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
208VP0000X Pain Medicine, Pain Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2020-04-12 |
Last Update Date | 2020-04-12 |