IndividualActive
Dylan Leslie
NPI 1962811802 · Substance Abuse Rehabilitation Facility · Canadian, OK
Provider details
- NPI number
- 1962811802
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Practice location
69 Arrowhead Loop
Canadian, OK 74425-5012
Phone: (918) 339-5800
Fax: (918) 339-5801
Mailing address
69 Arrowhead Loop
Canadian, OK 74425-5012
Registry dates
- Enumerated
- 2014-08-05
- Last updated
- 2014-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.