| NPI | 1194008698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA J KERBY CEO 918-718-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK 819) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |