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