Organization
A BALANCED LIFE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDEETA JOY OLIVER (OWNER)
(405) 551-0794
Entity
Organization
Contact information
Practice address
10601 S WESTERN AVE STE 110, OKLAHOMA CITY, OK 73170-6215
(405) 551-0794
Mailing address
10601 S WESTERN AVE STE 110, OKLAHOMA CITY, OK 73170-6215
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/27/2015
Last updated
06/27/2015
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