| NPI | 1891421939 |
|---|---|
| Other Name | AZALEA HOUSE OF HEALING, LLC |
| Entity Type | Organization |
| Authorized Contact | ANN MILLER-EDGE Owner/Operator 405-367-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2022-07-30 |