| NPI | 1073779328 |
|---|---|
| Other Name | OKLAHOMA OUTREACH THERAPY |
| Entity Type | Organization |
| Authorized Contact | KRISTA PATRICK Director Of Accounting Services 785-825-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1607) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 4634) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2011-10-04 |