Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CEDRIC GLENN
Active Sole ProprietorCEDRIC GLENN is a Psychiatric Residential Treatment Facility healthcare provider located in TULSA, Oklahoma. NPI 1114321486 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · TULSA, OK
Registration Details
- NPI Number
- 1114321486
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2014 (11.864838830727 yrs)
- Last Updated
- Oct 15, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
1721 E 72ND ST1803TULSA, OK, 741365372Browse OK providers · Browse ZIP 74136
- Phone
- 8133883773
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.