| NPI | 1588437602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE MICHELLE MONTOYA Owner 405-881-9638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2024-04-03 |