| NPI | 1871106096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICQUEAL L WARE CEO/Owner 405-837-2193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |