| NPI | 1497524599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE COOPER Owner 405-659-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |