| NPI | 1437548930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORI ZIBELL Owner 405-850-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1013) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |