OrganizationActive
Broadway House, Inc.
NPI 1710106778 · Substance Abuse Rehabilitation Facility · Ardmore, OK
Provider details
- NPI number
- 1710106778
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Wadonna Wells, Executive Director(580) 226-3252
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
221 2nd Ave Nw
Ardmore, OK 73401-6202
Phone: (580) 226-3252
Fax: (580) 226-3849
Street-level locationGet directions
Mailing address
221 2nd Ave Nw
Ardmore, OK 73401-6202
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.