Organization Name: | LIFE MANAGEMENT, INC. |
NPI Number: | 1275955726 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NECOLE M CARPENTER (PRESIDENT) |
Mailing Address: | 604 South Maple Avenue Afton |
State: | OK US |
Postal Code: | 743310461 |
Phone Number: | 9182579570 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2014 |
NPI Last Update Date: | 01/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |