Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Brown Treatment Center

Organization Children's Substance Abuse Rehabilitation Facility · NPI 1780939223

Jack Brown Treatment Center is a Children's Substance Abuse Rehabilitation Facility in Tahlequah, Oklahoma. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

17091 S Muskogee Ave
Tahlequah, OK 74465
Phone: (918) 453-5501
Fax: (918) 458-0499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary) Taxonomy 3245S0500X

Record details

NPI number1780939223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darren Dry — Director · (918) 453-5519
NPI enumeratedJuly 20, 2012
Last updated in NPPESJuly 20, 2012
Mailing addressPo Box 397, Park Hill, OK 74451-0397