Dare Program Of Shawnee

LBN: Gateway To Prevention And Recovery, Inc.
Dare Program Of Shawnee is an health care organization with primary practice located at 1010 E 45Th St , Shawnee OK 74804-2202. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Gateway To Prevention And Recovery, Inc. can be contacted via phone (405) 273-1170, or through Greenwood, Jon via phone (405) 273-1170.

Contact Information

Primary practice address
1010 E 45Th St Shawnee OK 74804-2202
Phone: (405) 273-1170
Fax: (405) 275-5132
Website:
Map and Directions
Authorized official contact:
Name: Greenwood, Jon
Phone: (405) 273-1170

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1144331802
LBN Legal business name Gateway To Prevention And Recovery, Inc.
DBA Doing business as Dare Program Of Shawnee
Authorized official Greenwood, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 17th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144331802 NPPES
Oklahoma MEDICAID 100736990A

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