| NPI | 1184465619 |
|---|---|
| Doing Business As | LIFE CENTER ORGANIZATION |
| Entity Type | Organization |
| Authorized Contact | DUSTY HARRYMAN President/Founder 620-875-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |