| NPI | 1811238868 |
|---|---|
| Doing Business As | SPRING ETERNAL |
| Entity Type | Organization |
| Authorized Contact | MARIECHIA L PALMER Owner 405-623-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 908) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1077) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 908) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2024-03-01 |