NPI | 1740947159 |
---|---|
Entity Type | Organization |
Authorized Contact | RAFIN TYRONE CHATMAN Owner/Clinical Director 405-205-6314 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-11-19 |
Last Update Date | 2021-11-19 |