NPI | 1639947807 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE G SMITH Owner, Executive Director 918-984-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-12-18 |
Last Update Date | 2024-05-28 |