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 |