| NPI | 1679278584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE RICE CFO 405-858-2735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2024-06-21 |