Organization Name: | NEW DIMENSIONS YOUTH AND FAMILY COUNSELING LLC, |
NPI Number: | 1619312154 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FLORENCE CHIME ONYIA (CHIEF EXECUTIVE DIRECTOR) |
Mailing Address: | 2836 Linda Ln Del City |
State: | OK US |
Postal Code: | 731155012 |
Phone Number: | 4056092310 |
Fax Number: | 4056092310 |
NPI Enumeration Date: | 05/09/2013 |
NPI Last Update Date: | 05/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |