| NPI | 1457642621 |
|---|---|
| Doing Business As | ENGAGE LIFE |
| Entity Type | Organization |
| Authorized Contact | MAJICK RAVENHAWK CEO 918-712-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |