| NPI | 1518333087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORREST BRENT KATIGAN Executive Director 405-601-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 922) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 922) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |