Tahlequah Men's Shelter DBA Project Osiyo

NPI #1134704489 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1134704489
Entity Type: Organization
Organization Name: Tahlequah Men's Shelter DBA Project Osiyo
Primary Specialty: Case Management
Enumeration Date: Mar 17, 2021
Last Updated: Mar 17, 2021

Practice Location

Address: 118 W KEETOOWAH ST
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-3820
Phone: (918) 708-2015

Authorized Official

Name: SAM BRADSHAW, LSW
Title: BOARD PRESIDENT
Phone: (918) 708-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Voluntary or Charitable	251V00000X
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Recovery Care — Recovery Care	261QR0800X
Case Management	251B00000X	Primary

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