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 |