| NPI | 1053552539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM GORMAN President 405-608-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 1164) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |