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Organization

LOVE HEALS CHURCH

Active
Other names
Restoring Lives Program
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTAN EVANS (DIRECTOR)
(918) 445-2900
Entity
Organization

Contact information

Practice address
3308 W 61ST ST, TULSA, OK 74132-1223
(918) 445-2900
(918) 445-7711
Mailing address
3308 W 61ST ST, TULSA, OK 74132-1223
(918) 445-2900
(918) 445-7711

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
OK
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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