| NPI | 1114610326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KEEGAN WOLF Clinical Social Worker 405-213-7318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-07-24 |