| NPI | 1003304254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN GRIM LOWTHER Therapist 918-764-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |