| NPI | 1427831643 |
|---|---|
| Doing Business As | STANA SELF |
| Entity Type | Organization |
| Authorized Contact | STANA SELF Director 580-372-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-01-28 |