| NPI | 1134216427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENONA RAY BARNES CEO 405-840-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 13) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: OK 95-249) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-08-14 |