OrganizationActive
Osage Nation Prt
NPI 1710240825 · Substance Abuse Rehabilitation Facility · Pawhuska, OK
Provider details
- NPI number
- 1710240825
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Louis Gray, Coordinator
- License
- 109 (OK)
Practice location
1011 Grandview Ave
Pawhuska, OK 74056-3023
Phone: (918) 287-5420
Fax: (918) 287-3721
Mailing address
5525 Harvard Dr
Bartlesville, OK 74006-8838
Registry dates
- Enumerated
- 2012-06-22
- Last updated
- 2012-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.