Organization · Type 2 NPI
Life Change Outpatient, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Oklahoma City, OK
NPI number
1407781644
Active
Practice location
14400 Bogert Pkwy Ste 600
Oklahoma City, OK 73134-2652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1407781644
Life Change Outpatient, LLC's National Provider Identifier is 1407781644, issued on Jun 17, 2026. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 17, 2026.