| NPI | 1073932976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVONDRA LOVE OWENS CFO 405-733-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |