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 |