Convalesce

NPI #1639524994 in Moore, Oklahoma

Provider Information

NPI Number
1639524994
Entity Type
Organization
Organization Name
Convalesce
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 25, 2016
Last Updated
Apr 25, 2016

Practice Location

Address
626 N BROADWAY ST
City
Moore
ZIP Code
73160-4814
Phone
(405) 430-8917

Authorized Official

Name
CHRISTIANE LANGE, MS/LPC
Title
CLINICAL DIRECTOR
Phone
(405) 430-8917

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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