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Alpha II, INC.

Substance Abuse Rehabilitation Facility in Tonkawa, OK. Organization (NPI-2).

NPI number1982808457
StatusActive
Last updated in NPPESOct 5, 2011

Details

NPI
1982808457
Entity type
Organization (NPI-2)
Legal business name
Alpha II, INC.
Organization subpart
No
Enumeration date
Jun 11, 2007
Last updated
Oct 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

1608 N Main St
Tonkawa, OK 74653-1038

Phone 580-628-2539 · Fax 580-628-4316

Mailing address

Po Box 369
Tonkawa, OK 74653-0369

Phone 580-628-2539 · Fax 580-628-4316

Authorized official

Marianne R. Gutierrez
Executive Director
5806282539

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