NPI 1003234907

Spring of Life Family Services LLC

Organisation Community/Behavioral Health Agency Oklahoma City, OK

Practice location

Address: 7814 NW 94th St STE B, Oklahoma City, OK 73162-6203
Phone: (405) 414-0043
Mailing address: 7814 Northwest 94th, Suite B, Okc, OK 73162-6201

Authorised official

Name: Ruth Kinyuy Lange
Title: Owner/Executive Director
Phone: (405) 414-0043

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 4942 (OK)

Other Community/Behavioral Health providers in Oklahoma →

Registry record

NPI: 1003234907
Entity type: Organization
NPI issued: 29 Mar 2014
Record last updated: 29 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.