| NPI | 1144686767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY BRONNELL BLAIR Licensed Professional Counselor 405-761-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 5944) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-09-07 |