NPI | 1275352494 |
---|---|
Entity Type | Organization |
Authorized Contact | CAITLIN AKEMAN Director Of Operations 918-809-8986 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2024-10-04 |
Last Update Date | 2024-10-04 |