Healthcare Provider Details

I. General information

NPI: 1891040887
Provider Name (Legal Business Name): NEW DAY RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 07/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7250 N W EXPRESSWAY SUITE 200
OKLAHOMA CITY OK
73132-7250
US

IV. Provider business mailing address

7250 N W EXPRESSWAY SUITE 200
OKLAHOMA CITY OK
73132-7250
US

V. Phone/Fax

Practice location:
  • Phone: 405-525-0452
  • Fax: 405-525-0515
Mailing address:
  • Phone: 405-525-0452
  • Fax: 405-525-0515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number448885159
License Number StateOK

VIII. Authorized Official

Name: MS. RHONDA KYLE
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 405-525-0452