| NPI | 1154756138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JAYNE MOORE Owner 405-285-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2554) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |