| NPI | 1386372183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LEFLORE Owner 918-205-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-09-01 |