| NPI | 1043980188 |
|---|---|
| Doing Business As | THE JETTY COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | TERESA GALE RUE-WALLACE Owner/CEO/President/Exec. Director 405-306-8511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-21 |