| NPI | 1497469050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA JANET DIAZ Counselor 918-381-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-04-26 |