| NPI | 1013797638 |
|---|---|
| Doing Business As | SELF |
| Other Name | KELLY DYE |
| Other Name | SELF |
| Entity Type | Organization |
| Authorized Contact | KELLY DYE, OFFICE MANAGER Office Manager 405-949-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |