Lost River Treatment Center

LBN: Modoc Tribe Of Oklahoma
Lost River Treatment Center is an health care organization with primary practice located at 10025 South 705 Road , Wyandotte OK 74370. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Methadone. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Modoc Tribe Of Oklahoma can be contacted via phone (918) 303-5433, or through Mullin, Jessica via phone (918) 325-9837.

Contact Information

Primary practice address
10025 South 705 Road Wyandotte OK 74370
Phone: (918) 303-5433
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mullin, Jessica Licensed Clinical Social Worker (LCSW)
Phone: (918) 325-9837

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Methadone 261QM2800X

Profile Details

NPI number 1265083380
LBN Legal business name Modoc Tribe Of Oklahoma
DBA Doing business as Lost River Treatment Center
Authorized official Mullin, Jessica Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2019
Last updated Jun 7th, 2023 - about 2 years 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.

Request for update

Popular Providers