| NPI | 1568054690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA RUSSHETTE RUSHING Owner/Licensed Therapist 405-276-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |