| NPI | 1164939765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL DAWN HALTOM Owner 405-550-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6323) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-03-22 |