NPI | 1083112544 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL HOFER Clinician/Owner 405-604-7223 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4209) |
Enumeration Date | 2018-01-30 |
Last Update Date | 2018-06-16 |