| NPI | 1679333231 |
|---|---|
| Doing Business As | AUDACITY THERAPY |
| Entity Type | Organization |
| Authorized Contact | LAUREN PARK Owner 405-888-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-12-02 |