| NPI | 1639699267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAI-AN TRUONG Owner 405-237-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OK 4691) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2023-01-02 |