Organization · NPI-2

21days2change, LLC

Community/Behavioral Health · Oklahoma City, OK

NPI number1053541102
StatusActive
Last updated in NPPESJul 23, 2009

Details

NPI
1053541102
Entity type
Organization (NPI-2)
Legal business name
21days2change, LLC
Organization subpart
No
Enumeration date
Jul 23, 2009
Last updated
Jul 23, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • 21days2change (Doing Business As)

Practice location

12032 N Pennsylvania Ave
Oklahoma City, OK 73120-7827

Phone 405-816-7735 · Fax 405-286-1380

Mailing address

Po Box 57366
Oklahoma City, OK 73157-7366

Phone 405-816-7735 · Fax 405-286-1380

Authorized official

James O Hale
Chief Operating Officer
4058167735

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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