| NPI | 1780407577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL SCOTT Owner 405-512-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2026-05-01 |