| NPI | 1356442743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIE NAYFA Executive VP 405-826-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK CARF 205299) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-10-16 |