JACK BROWN TREATMENT CENTER
NPI 1780939223
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Tahlequah, OK

Q: What is Jack Brown Treatment Center's NPI number?

The NPI number for Jack Brown Treatment Center is 1780939223. It was assigned to this organization in the NPPES registry on July 20, 2012.

Q: What is Jack Brown Treatment Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Active since July 20, 2012

17091 S MUSKOGEE AVE, TAHLEQUAH, OK 74465(918) 453-5501(918) 458-0499 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jack Brown Treatment Center NPPES

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

JACK BROWN TREATMENT CENTER (NPI 1780939223) is a healthcare organization registered as a substance abuse treatment, children in Tahlequah, Oklahoma and active in the NPI registry since July 2012. The organization lists Darren Dry, Director, as its authorized official.

NPPES Registry Identity

NPI1780939223

Entity TypeOrganization

Primary Taxonomy3245S0500X

Legal Business NameJACK BROWN TREATMENT CENTER

Location Address17091 S MUSKOGEE AVETahlequah, OK 74465

Mailing AddressPo Box 397Park Hill, OK 74451-0397

Phone(918) 453-5501

Fax(918) 458-0499

Organization SubpartNo

Authorized OfficialDarren DryDirector · (918) 453-5519

Enumeration DateJuly 20, 2012

✔ NPI 1780939223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities

Taxonomy Code3245S0500X

Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

17091 S MUSKOGEE AVE, Tahlequah, OK 74465

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SONYA DAVIDSON CADC UNDERSUPERVISIO

Counselor (Addiction (Substance Use Disorder))

17091 S MUSKOGEE AVE
TAHLEQUAH, OK 74465

Cherokee County (918) 453-5504

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 Jack Brown Treatment Center's NPI number?

The NPI number for Jack Brown Treatment Center is 1780939223. It was assigned to this organization in the NPPES registry on July 20, 2012.

Where is Jack Brown Treatment Center located?

Jack Brown Treatment Center is located at 17091 S Muskogee Ave, Tahlequah, OK 74465. The listed phone number is (918) 453-5501.

What is Jack Brown Treatment Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Jack Brown Treatment Center was last updated on July 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.