| NPI | 1174748917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WILLIAMS Clinical Director 918-302-0389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 101YA0400X) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 101YM0800X) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |