| NPI | 1063661676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN HARTMULLER Executive Director 918-274-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 2809) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 146) |
| 106H00000X Marriage & Family Therapist (Licence: OK 797) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2011-04-26 |