Provider Demographics
NPI:1356442743
Name:DRUG RECOVERY INC
Entity Type:Organization
Organization Name:DRUG RECOVERY INC
Other - Org Name:CATALYST BEHAVIORAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP
Authorized Official - Prefix:MS
Authorized Official - First Name:EDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAYFA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC,LADC
Authorized Official - Phone:405-826-0105
Mailing Address - Street 1:3033 N WALNUT
Mailing Address - Street 2:
Mailing Address - City:OKC
Mailing Address - State:OK
Mailing Address - Zip Code:73105-2832
Mailing Address - Country:US
Mailing Address - Phone:405-230-1102
Mailing Address - Fax:405-236-3421
Practice Address - Street 1:3033 N WALNUT
Practice Address - Street 2:
Practice Address - City:OKC
Practice Address - State:OK
Practice Address - Zip Code:73105-2832
Practice Address - Country:US
Practice Address - Phone:405-230-1102
Practice Address - Fax:405-236-3421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKCARF 205299101YA0400X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100805440CMedicaid