| NPI | 1205287950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE CALICO Member/Manager 918-749-6935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1270) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |