NPI | 1801375324 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE LORRAINE DEMARAIS President/Therapist 918-530-1796 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OK 4338) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OK 980) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OK 4338) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OK 980) | |
Enumeration Date | 2018-08-07 |
Last Update Date | 2018-08-07 |