| NPI | 1699350579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY SMITH Clinical Director 918-521-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |