NPI | 1679665079 |
---|---|
Entity Type | Organization |
Authorized Contact | MYRNA JEAN WILLIAMS Owner CEO 405-812-5934 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 2681) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OK 2681) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2008-07-22 |