NPI | 1508480872 |
---|---|
Former Legal Business Name | MARIA NANCY MARTINEZ |
Doing Business As | MARIA NANCY MARTINEZ |
Entity Type | Organization |
Authorized Contact | MARIA NANCY MARTINEZ CEO 405-305-7404 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2023-05-30 |