Soberlife Recovery Incorporated

NPI #1407685134 in Tulsa, Oklahoma

Provider Information

NPI Number: 1407685134
Entity Type: Organization
Organization Name: Soberlife Recovery Incorporated
Primary Specialty: Peer Specialist
Enumeration Date: Jul 31, 2024
Last Updated: Jul 31, 2024

Practice Location

Address: 11604 E 23RD STREET
City: Tulsa
State: Oklahoma
ZIP Code: 74129
Phone: (918) 630-6029

Authorized Official

Name: MR. TRAVIS LEON ANDERSON
Title: CFO
Phone: (918) 630-6029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Peer Specialist	175T00000X	Primary

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