| NPI | 1114338118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE WARD School Psychologist Owner 918-647-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK LPC UnderSupervision) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |