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 |