| NPI | 1790712008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY KAUPKE CEO/Owner 405-818-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1814) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-09-11 |