| NPI | 1194410563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIA ADELE BUCHANAN Professional Counselor 580-730-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-08-05 |