| NPI | 1194034983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN GONZALES Owner/ Therapist 405-503-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2458) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2015-03-26 |