| NPI | 1831676097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B WHITE Cln Director 918-282-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5975) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2025-02-21 |