| Abundant Life Today Services, Llc | |
|
4000 E Charter Oak Road Guthrie OK 73044-9263 | |
| (405) 340-0085 | |
| (866) 941-8550 |
| Full Name | Abundant Life Today Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4000 E Charter Oak Road, Guthrie, Oklahoma |
| Authorized Official Name and Position | Charles Michael Kissick (DIRECTOR) |
| Authorized Official Contact | 4053400085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Today Services, Llc 4000 E Charter Oak Road Guthrie OK 73044-9263 Ph: (405) 340-0085 | Abundant Life Today Services, Llc 4000 E Charter Oak Road Guthrie OK 73044-9263 Ph: (405) 340-0085 |
| NPI Number | 1447657929 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 11/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447657929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4707 (Oklahoma) | Primary |
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