| NPI | 1003365867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KAY METCALF Clinical Director / Owner 918-907-1081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2023-05-04 |