| NPI | 1689338519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE HULLINGER VP Of Revenue Cycle 918-458-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2024-11-07 |