| NPI | 1477470193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCZ JONES Owner 918-856-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 133N00000X Nutritionist | |
| 251B00000X Case Management | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 101YM0800X Counselor, Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2026-07-02 |
| Last Update Date | 2026-07-02 |