| NPI | 1063813392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACI JOLEE CAMPBELL Manager 405-742-2943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3563) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |