| 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 |