| NPI | 1912612334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RUDESILL Owner 405-456-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |