NPI | 1982152948 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMINA LONG Owner/Lpc 405-249-3386 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 72046) |
Enumeration Date | 2016-09-19 |
Last Update Date | 2016-09-19 |