| NPI | 1114263498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX W. LEGATSKI Director 918-336-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 641) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |