IndividualActive
Martin Maytubby
NPI 1083923213 · Substance Abuse Rehabilitation Facility · Ardmore, OK
Provider details
- NPI number
- 1083923213
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 821 (OK)
Mailing address
9 10th Ave Nw
Ardmore, OK 73401-5929
Registry dates
- Enumerated
- 2010-10-05
- Last updated
- 2011-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.