| NPI | 1154841732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY WISE Therapist/Owner 405-821-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5665) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |