# TIME WELLNESS OK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770339814
- **Authorized official:** NICHOLAS CANTO (COO)
- **Authorized official phone:** (954) 654-2350

## Contact information

- **Practice address:** 446724 E 390 RD, LANGLEY, OK 74350
- **Practice address phone:** (954) 654-2350
- **Mailing address:** 446724 E 390 RD, LANGLEY, OK 74350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2024
- **Last updated:** 04/29/2024