| NPI | 1396639118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAINE VERNOR Licensed Professional Counselor 918-429-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |