| NPI | 1518773456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA T MCCOY Licensed Professional Counselor 405-314-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |