NPI | 1194326637 |
---|---|
Entity Type | Organization |
Authorized Contact | KAYLA RENEE HIGNITE Licensed Alcohol, Drug, And Mh 405-837-6681 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-11-02 |
Last Update Date | 2020-11-02 |