| NPI | 1699091348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELINE NSIKA Lpc Candidate 405-525-0452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 21902) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 21902) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |