| NPI | 1720741283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CHAUDHRY Owner 918-520-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-11-01 |