| NPI | 1205706835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA GROVER Owner 405-494-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-08 |
| Last Update Date | 2025-11-08 |