NPI | 1740323195 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA J NAFF Owner 918-585-9888 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK LPC1346) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 20) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2011-08-04 |