| NPI | 1194406934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE LESLIE Owner/Therapist 918-409-2219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-26 |