SearchOklahomaMental Illness Community Based Residential Treatment Facility

Cedric Glenn

NPI 1114321486 · on the registry since 2014 · sole proprietor

Practice

Address
1721 E 72nd St
1803
Tulsa, OK 74136
Phone
(813) 388-3773

Registry record

Primary taxonomy
Mental Illness Community Based Residential Treatment Facility
320800000X
Also registered as
Substance Abuse Rehabilitation Facility
Sex
Male
Record last updated
2014-10-15
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma