Organization
INTERNATIONAL BUSINESS ENTERPRISE, IBE
Active
Parent organization
INTERNATIONAL BUSINESS ENTERPRISE
Other names
A1 EXCELLENT COUNSELING SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERNATIONAL BUSINESS ENTERPRISE
Authorized official
THEOPHILUS AMANGAETEOGO DEPONA (PRESIDENT / DIRECTOR)
(405) 922-0045
Entity
Organization
Contact information
Practice address
5714 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4515
(405) 922-0045
Mailing address
2705 SUMMER SET TRL, EDMOND, OK 73012-6642
(405) 922-0045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302848
OK
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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