| NPI | 1811583602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA W. WHITE President 918-313-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |