| Organization Name: | ACHE TO LIVE INC. |
| NPI Number: | 1902247158 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JORDAN GRUENBERG (PRESIDENT/COUNSELOR) |
| Mailing Address: | 4211 N Macarthur Blvd Warr Acres |
| State: | OK US |
| Postal Code: | 731223007 |
| Phone Number: | 4057897805 |
| Fax Number: | 4054910407 |
| NPI Enumeration Date: | 07/16/2013 |
| NPI Last Update Date: | 07/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 797 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |