| 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 | 101YM0800X Counselor, Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2018-04-16 |