Adelbert Isaiah Jerel Steeprock
Substance Abuse Rehabilitation Facility in Ponca City, OK. Individual provider (NPI-1).
NPI number1699427005
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1699427005
- Entity type
- Individual (NPI-1)
- Name
- Adelbert Isaiah Jerel Steeprock
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2022
- Certification date
- Jan 26, 2022
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
210 Starting Point DrPonca City, OK 74601-8308
Phone 580-749-7322
Mailing address
210 Starting Point DrPonca City, OK 74601-8308
Phone 580-749-7322
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