| NPI | 1326858481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER O OPARAODU Managing Member 940-202-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |