| NPI | 1437893773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALA PEREZ Owner/Lpc S 918-273-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2023-10-28 |