Organization
LIFE RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CODY SHOEMAKER MSC, NCGC-2, LADC/MH (EXECUTIVE DIRECTOR)
(580) 304-9770
Entity
Organization
Contact information
Practice address
5113 SE 15TH ST STE D, DEL CITY, OK 73115-3952
(580) 304-9770
Mailing address
5113 SE 15TH ST STE D, DEL CITY, OK 73115-3952
(580) 304-9770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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