| NPI | 1700611548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEFRANCES OLOGOLO Owner/Authorized Official 918-691-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2025-09-11 |