IndividualActive
Brian Cagle
NPI 1164016192 · Substance Abuse Rehabilitation Facility · Tulsa, OK
Provider details
- NPI number
- 1164016192
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1239 S Quincy Ave Apt 16
Tulsa, OK 74120-5277
Phone: (918) 764-0662
Approximate (ZIP-level) locationGet directions
Mailing address
1239 S Quincy Ave Apt 16
Tulsa, OK 74120-5277
Registry dates
- Enumerated
- 2021-02-20
- Last updated
- 2021-02-20
- Certified
- 2021-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.