NPI | 1073831350 |
---|---|
Doing Business As | THE JETTY COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | TERESA GALE RUE-WALLACE Owner/CEO/President/Exec. Director 405-665-4385 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2010-05-11 |
Last Update Date | 2021-09-10 |