| NPI | 1295517498 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICIA LYNN REMBERT-ANDERSON Licensed Professional Counselor 580-341-7177 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2023-10-20 | 
| Last Update Date | 2024-01-17 |