Organization
GLORY IN SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE EZEALA LPC (EXECUTIVE DIRECTOR/CEO)
(310) 619-8514
Entity
Organization
Contact information
Practice address
1330 N CLASSEN BLVD, SUITE 310, OKLAHOMA CITY, OK 73106-6835
(405) 510-4615
(405) 225-7326
Mailing address
1330 N CLASSEN BLVD, SUITE 310, OKLAHOMA CITY, OK 73106-6835
(405) 510-4615
(405) 225-7326
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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