| NPI | 1265227763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HOLLABAUGH Executive Director 918-256-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |