NPI | 1487165866 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE CLARISSA DENES President 405-305-6139 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 4597) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-10-12 |