| NPI | 1669043311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY L COFFMAN-TALLEY Licenced Professional Counselor 405-201-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-04 |
| Last Update Date | 2024-10-15 |