| NPI | 1699580308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET JANETTE GEORGE Counselor 405-255-8546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |