| NPI | 1073824991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW W BLOOM Chief Executive Officer 580-222-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4312) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-29 |