| NPI | 1285520726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LOBATO CEO 918-608-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-11-04 |