Sugar Mountain Retreat, Inc.

NPI #1538299417 in Welling, Oklahoma

Provider Information

NPI Number: 1538299417
Entity Type: Organization
Organization Name: Sugar Mountain Retreat, Inc.
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Mar 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 26403 S 581 RD
City: Welling
State: Oklahoma
ZIP Code: 74471-2303
Phone: (918) 457-4221

Authorized Official

Name: DAVETTA MCINTOSH
Title: ADMINISTRATOR
Phone: (918) 457-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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