| NPI | 1992388409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJE NEWNAM Owner 405-238-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |