| NPI | 1104295500 |
|---|---|
| Doing Business As | EXCEL MHS, LLC |
| Entity Type | Organization |
| Authorized Contact | RANDY HUGH GARDENHIRE CEO 580-399-3071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5643) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1147) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |