| Organization Name: | LEQUITA J. JOYCE INC |
| NPI Number: | 1255491494 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL EDWIN GROSE (PRES.) |
| Mailing Address: | 100 East Ray Fine Blvd Roland |
| State: | OK US |
| Postal Code: | 74954 |
| Phone Number: | 9184271311 |
| Fax Number: | 9184270013 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 05/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |