| NPI | 1487400982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERON BROWN Owner 580-579-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |