| NPI | 1194108415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KAVANAUGH Lcsw 405-613-0523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OK 2299) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |