| NPI | 1073749768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLEN MOODY Owner/CEO 405-620-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 902) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |