Provider Demographics
NPI:1730339771
Name:NARCONON OF OKLAHOMA, INC.
Entity type:Organization
Organization Name:NARCONON OF OKLAHOMA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF LEGAL AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:JO-ANN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-212-5238
Mailing Address - Street 1:69 ARROWHEAD LOOP
Mailing Address - Street 2:
Mailing Address - City:CANADIAN
Mailing Address - State:OK
Mailing Address - Zip Code:74425-5012
Mailing Address - Country:US
Mailing Address - Phone:918-339-5800
Mailing Address - Fax:918-339-5820
Practice Address - Street 1:69 ARROWHEAD LOOP
Practice Address - Street 2:
Practice Address - City:CANADIAN
Practice Address - State:OK
Practice Address - Zip Code:74425-5012
Practice Address - Country:US
Practice Address - Phone:918-339-5800
Practice Address - Fax:918-339-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility