| NPI | 1801519574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASIA MENDIOLA Managing Director 405-281-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-01-18 |