| NPI | 1598321440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BRYANT Director 405-234-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |