| NPI | 1619842416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA VYNON BUSS Owner/Provider 918-351-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |