| 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 |