| NPI | 1790621902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA MINA BURY Licensed Professional Counselor 918-344-9057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-04-28 |