| NPI | 1801593082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAHAB BEN ISRAEL Owner 405-875-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-09-18 |