NPI | 1063878221 |
---|---|
Entity Type | Organization |
Authorized Contact | KARA SMITH Mental Health Therapist 580-382-5772 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 5884) |
Enumeration Date | 2016-01-04 |
Last Update Date | 2016-01-04 |