Cedric Glenn
Cedric Glenn is a Mental Illness Community Based Residential Treatment Facility in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1721 E 72nd St 1803Tulsa, OK 74136-5372
Phone: (813) 388-3773
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|---|
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1114321486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2014 |
| Last updated in NPPES | October 15, 2014 |
| Mailing address | 1721 E 72nd St, 1803, Tulsa, OK 74136-5372 |
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