| NPI | 1225406895 |
|---|---|
| Doing Business As | A1 EXCELLENT COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | THEOPHILUS AMANGAETEOGO DEPONA President / Director 405-922-0045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 302848) |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2015-09-12 |