| NPI | 1023462363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN FAULKNER President 580-310-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5324) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |