| NPI | 1639947807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE G SMITH Owner, Executive Director 918-984-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |