| NPI | 1881087641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES U UBOZO Owner 405-202-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |