Organization
ACHE TO LIVE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JORDAN GRUENBERG LPC, LADC/MH (PRESIDENT/COUNSELOR)
(405) 596-0178
Entity
Organization
Contact information
Practice address
4211 N MACARTHUR BLVD, WARR ACRES, OK 73122-3007
(405) 789-7805
(405) 491-0407
Mailing address
625 E ELDER LN, MUSTANG, OK 73064-4617
(405) 506-0178
(405) 491-0407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
797
OK
101YP2500X
Professional Counselor
Primary
4803
OK
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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