| NPI | 1326739137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN FIDEL Licensed Professional Counselor 405-503-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |