| NPI | 1154569846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELWOOD PAUL BOWERMAN Licensed Professional Counselor 405-620-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 568) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |