OrganizationActive
Country Road Operations LLC
NPI 1073109112 · Substance Abuse Rehabilitation Facility · Tecumseh, OK
Provider details
- NPI number
- 1073109112
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Daniel Mandelbaum, Ceo(718) 570-6018
Specialties & taxonomies
Residential Treatment Facilities
Practice location
24962 Okay Rd
Tecumseh, OK 74873-6504
Phone: (405) 253-2020
Approximate (ZIP-level) locationGet directions
Mailing address
24962 Okay Rd
Tecumseh, OK 74873-6504
Other names (DBA / former)
- Former legal business name
- Avenues of Oklahoma
Registry dates
- Enumerated
- 2020-12-14
- Last updated
- 2020-12-14
- Certified
- 2020-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.