NPI | 1891812715 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY SHANIQUE SHOALS Executive Clinical Director 405-272-1610 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2664) |
Enumeration Date | 2007-03-24 |
Last Update Date | 2020-08-22 |