| Life Journey Group, Llc | |
|
901 E Van Buren Ave Mcalester OK 74501-4239 | |
| (210) 500-6031 | |
| Not Available |
| Full Name | Life Journey Group, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 901 E Van Buren Ave, Mcalester, Oklahoma |
| Authorized Official Name and Position | Alrick A Demontegnac (PRESIDENT) |
| Authorized Official Contact | 2105006031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Journey Group, Llc 901 E Van Buren Ave Mcalester OK 74501-4239 Ph: (210) 500-6031 | Life Journey Group, Llc 901 E Van Buren Ave Mcalester OK 74501-4239 Ph: (210) 500-6031 |
| NPI Number | 1922789296 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922789296 | NPI | - | NPPES |
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