| NPI | 1982474250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA RHOADES Owner 918-361-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |