NPI | 1164939765 |
---|---|
Doing Business As | KRYSTAL HALTOM |
Entity Type | Organization |
Authorized Contact | KRYSTAL DAWN HALTOM Owner 405-550-2688 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6323) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2025-07-31 |