NPI | 1639802127 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA SUSAN KUNKEL Owner 405-713-5792 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-07-02 |
Last Update Date | 2022-07-24 |