Organization
21DAYS2CHANGE, LLC
Active
Other names
21Days2Change
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES O HALE LPC (CHIEF OPERATING OFFICER)
(405) 816-7735
Entity
Organization
Contact information
Practice address
12032 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120-7827
(405) 816-7735
(405) 286-1380
Mailing address
PO BOX 57366, OKLAHOMA CITY, OK 73157-7366
(405) 816-7735
(405) 286-1380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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