IndividualActive
Lavina Clark
NPI 1417297680 · Substance Abuse Rehabilitation Facility · Pawhuska, OK
Provider details
- NPI number
- 1417297680
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
126 E 6th St
Pawhuska, OK 74056-4204
Phone: (918) 287-5425
Fax: (918) 287-1096
Approximate (ZIP-level) locationGet directions
Mailing address
2207 Bayliss Ave
Pawhuska, OK 74056-9442
Registry dates
- Enumerated
- 2013-02-25
- Last updated
- 2013-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.