| NPI | 1780332635 |
|---|---|
| Former Legal Business Name | AT PEACE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JACLYN KAY JOHNDROW Owner 918-381-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-16 |