| NPI | 1730798117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMIN SMITH Owner 405-887-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2024-04-17 |