Itha Joyce Gray in Holdenville - Addiction (substance Use Disorder)
Itha Joyce Gray - NPI 1043420227
Itha Joyce Gray is a Addiction (substance Use Disorder) in Holdenville, Oklahoma. Itha Joyce Gray practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Itha Joyce Gray is 1043420227. The last update date is 2007-07-08.
Itha Joyce Gray's current location address is 118 E Main St, Holdenville, Oklahoma. You can contact this provider via phone number 4053795256. The mailing address for Itha Joyce Gray is 118 E Main St, Holdenville, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Itha Joyce Gray |
|---|---|
| Address | 118 E Main St, Holdenville, Oklahoma |
| Phone Number | 4053795256 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ICADC |
NPI Number Detail
| NPI Number | 1043420227 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 118 E Main St |
|---|---|
| City | Holdenville |
| State | Oklahoma (OK) |
| Post Code | 748483208 |
| Phone Number | 4053795256 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 252 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the Itha Joyce Gray's 1043420227?
The Itha Joyce Gray's NPI (National Provider Identifier) Number is 1043420227. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Itha Joyce Gray is physically located?
The Itha Joyce Gray is situated at the following address: 118 E Main St, Holdenville, OK 748483208.
What is the area of specialization for Itha Joyce Gray, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Itha Joyce Gray is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043420227 to Itha Joyce Gray?
The Itha Joyce Gray received its 1043420227 assignment from the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date was the information regarding Itha Joyce Gray, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Itha Joyce Gray, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.