| NPI | 1174718159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES WARWICK Co Owner 918-270-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 1953) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |