| NPI | 1326779240 |
|---|---|
| Doing Business As | JANICE L KIMBALL |
| Entity Type | Organization |
| Authorized Contact | JANICE LEIGH KIMBALL Owner 405-400-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-08-04 |