| NPI | 1689193773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYANNE MITCHELL Owner/Clinical Director 918-861-4973 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4826) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-07-21 |