| NPI | 1366249633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY LAYNE GAROUTTE Owner 918-516-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |