| NPI | 1164790192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LEE EDWARDS President 405-476-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2695) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |