| NPI | 1154873552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JAMES RANDOLPH Managing Member 405-476-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 1523) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2017-01-31 |