| NPI | 1164557492 |
|---|---|
| Doing Business As | THE JETTY COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES E WALLACE CEO Financial Administrator 405-665-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |