Glenn, Cedric

Glenn, Cedric is an sole proprietor health care provider with primary practice located at 1721 E 72Nd St 1803, Tulsa OK 74136-5372. He recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is his primary health care specialty. Glenn, Cedric can be contacted via phone (813) 388-3773.

Contact Information

Primary practice address
1721 E 72Nd St 1803 Tulsa OK 74136-5372
Phone: (813) 388-3773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1114321486
LBN Legal business name Glenn, Cedric
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2014
Last updated Oct 15th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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