Organization
MI-WIN, INC.
Active
Other names
dba Justin's Lighthouse Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
WINSTON SPENCER LEWIS (EXECUTIVE DIRECTOR)
(405) 919-8781
Entity
Organization
Contact information
Practice address
5425 S LAKEWOOD PL, TULSA, OK 74135-7742
(405) 919-8781
Mailing address
5425 S LAKEWOOD PL, TULSA, OK 74135-7742
(405) 919-8781
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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