| Revitalizing Hope, Llc | |
|
6003 N Robinson Ave Suite 101 Oklahoma City OK 73118-7425 | |
| (405) 831-3202 | |
| Not Available |
| Full Name | Revitalizing Hope, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6003 N Robinson Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Bobby Long (PRESIDENT) |
| Authorized Official Contact | 4058313202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalizing Hope, Llc Po Box 1250 Guthrie OK 73044-1250 Ph: (405) 831-3202 | Revitalizing Hope, Llc 6003 N Robinson Ave Suite 101 Oklahoma City OK 73118-7425 Ph: (405) 831-3202 |
| NPI Number | 1821316258 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821316258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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