GRAVEL ROAD, LLC

BARTLESVILLE, OK
NPI1154693349
Entity TypeOrganization
Authorized ContactJENNIFER BREWINGTON
CEO
918-766-6368
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YP2500X Counselor, Professional
1041C0700X Social Worker, Clinical
106H00000X Marriage & Family Therapist
Enumeration Date2012-02-02
Last Update Date2012-02-02
Business Address
GRAVEL ROAD, LLC
3820 SILVER LAKE VW
BARTLESVILLE, OK 74006-7341
Phone number: 918-766-6368
Mailing Address
GRAVEL ROAD, LLC
3820 SILVER LAKE VW
BARTLESVILLE, OK 74006-7341
Phone number: 918-766-6368