| NPI | 1124374558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANNE PEITZ Licensed Professional Counselor 580-763-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 3813) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |