NPI:
1922789296
Provider Name:
LIFE JOURNEY GROUP, LLC
Former Legal Business Name: LIFE JOURNEY GROUP, LLC
Classification:
Counselor - 101YA0400X
Entity Type:
Organization
Specialization: Addiction (Substance Use Disorder)
Address:
901 E VAN BUREN AVE
MCALESTER, OK
ZIP 74501
Phone:
(210) 500-6031
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LIFE JOURNEY GROUP, LLC is an addiction (substance use disorder) counselor in Mcalester, OK. LIFE JOURNEY GROUP, LLC NPI is 1922789296. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Life Journey Group, Llc.
The provider's business location address is:
901 E VAN BUREN AVE
MCALESTER, OK
ZIP 74501-239
Phone: (210) 500-6031
The provider's authorized official is Alrick A Demontegnac .
The authorized official title is President and has the following contact phone number (210) 500-6031.
The enumeration date for this NPI number is 7/28/2023 and was last updated on 7/31/2023.