| NPI | 1861877441 |
|---|---|
| Former Legal Business Name | LEADER PROFESSIONAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTENE RAENEA SCOTT Owner/Counselor 918-808-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X (Licence: OK 5204) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2022-12-07 |