NPI | 1588942015 |
---|---|
Entity Type | Organization |
Authorized Contact | SELENA MELANESE PARKS CEO 405-708-6999 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
103TP2701X Psychologist Group Psychotherapy | |
Enumeration Date | 2011-08-02 |
Last Update Date | 2018-04-16 |