| NPI | 1831840933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE SMITH Owner 405-642-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-09-27 |