| NPI | 1487409991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALMAN ALAM Director Of Operations 405-883-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |