| NPI | 1649754946 |
|---|---|
| Doing Business As | BILLIE THOMPSON |
| Entity Type | Organization |
| Authorized Contact | BILLIE GEAN THOMPSON Owner/Operator 405-205-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |