NPI | 1477360600 |
---|---|
Entity Type | Organization |
Authorized Contact | PAITTON NICOLE KENDRICK CALLERY Owner/Solo Practitioner 918-658-8352 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2024-12-11 |
Last Update Date | 2025-01-07 |