| NPI | 1124829668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY DAVID PASCHALL Director Of Case Mangement 918-607-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |