CEDRIC GLENN
NPI 1114321486
Community Based Residential Treatment Facility, Mental Illness in Tulsa, OK

Q: What is Cedric Glenn's NPI number?

The NPI number for Cedric Glenn is 1114321486. It was assigned to this individual provider in the NPPES registry on October 15, 2014.

Q: What is Cedric Glenn's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Cedric Glenn was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2014

1721 E 72ND ST, 1803, TULSA, OK 74136(813) 388-3773 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cedric Glenn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDRIC GLENN (NPI 1114321486) is an individual community based residential treatment facility, mental illness provider in Tulsa, Oklahoma and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1114321486

Entity TypeIndividualMale

Primary Taxonomy320800000X

Provider Legal NameCEDRIC GLENN

Location Address1721 E 72ND ST, 1803Tulsa, OK 74136-5372

Mailing Address1721 E 72nd St, 1803Tulsa, OK 74136-5372 · (813) 388-3773

Phone(813) 388-3773

Sole ProprietorYes

Enumeration DateOctober 15, 2014

✔ NPI 1114321486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

1721 E 72ND ST, Tulsa, OK 74136

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedric Glenn's NPI number?

The NPI number for Cedric Glenn is 1114321486. It was assigned to this individual provider in the NPPES registry on October 15, 2014.

Where is Cedric Glenn located?

Cedric Glenn practices at 1721 E 72nd St 1803, Tulsa, OK 74136. The listed phone number is (813) 388-3773.

What is Cedric Glenn's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Cedric Glenn was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.