Organization
SPRING OF LIFE FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH KINYUY LANGE LPC (OWNER/EXECUTIVE DIRECTOR)
(405) 414-0043
Entity
Organization
Contact information
Practice address
7814 NW 94TH ST STE B, OKLAHOMA CITY, OK 73162-6203
(405) 414-0043
Mailing address
7814 NORTHWEST 94TH, SUITE B, OKC, OK 73162-6201
(405) 414-0043
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4942
OK
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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