NPI | 1043926660 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIANA AGGREH Office Administrator 405-638-8128 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
261QM0801X | |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-01-26 |