| NPI | 1891331187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE RAY Director 918-658-4016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |