| NPI | 1861109027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DEARHAMER Owner/Therapist 918-947-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |