| NPI | 1679145486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE MORRISON Chief Clinical Officer 918-608-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2023-02-24 |