| NPI | 1043608508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MENYON ROBERSON Owner/Licensed Professional 918-504-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5616) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |