| NPI | 1871744797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. BRENT SHARPE Director 918-496-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3782) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 614) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |