Provider Demographics
NPI:1558783589
Name:VIZOWN LLC
Entity Type:Organization
Organization Name:VIZOWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER 'KITT'
Authorized Official - Middle Name:J
Authorized Official - Last Name:WAKELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-550-1750
Mailing Address - Street 1:24962 OKAY RD
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:OK
Mailing Address - Zip Code:74873-6504
Mailing Address - Country:US
Mailing Address - Phone:405-253-2020
Mailing Address - Fax:405-598-8227
Practice Address - Street 1:24962 OKAY RD
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:OK
Practice Address - Zip Code:74873-6504
Practice Address - Country:US
Practice Address - Phone:405-253-2020
Practice Address - Fax:405-598-8227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility