| NPI | 1659662161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L MILLER Owner/CEO 918-915-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4354) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 649) |
| 251B00000X Case Management (Licence: OK 12186) | |
| 251S00000X (Licence: OK 4773) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2013-10-28 |