| NPI | 1336770627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTA CROWDER Director/Therapist 918-766-6998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |