Healthcare Provider Details

I. General information

NPI: 1457517872
Provider Name (Legal Business Name): PALMER CONTINUUM OF CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 03/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 S. SHERIDAN RD.
TULSA OK
74112
US

IV. Provider business mailing address

711 S. SHERIDAN RD.
TULSA OK
74112
US

V. Phone/Fax

Practice location:
  • Phone: 918-832-7764
  • Fax: 918-832-7765
Mailing address:
  • Phone: 918-832-7764
  • Fax: 918-832-7765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. GREG SNEED
Title or Position: EXCUTIVE DIRECTOR
Credential:
Phone: 918-832-7764