| NPI | 1518688159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE L RIDENER Owner 405-326-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |