| NPI | 1215306980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN ELAINE VAUGHN-CASTOR Owner 405-923-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 3451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 3451) |
| 101YP2500X Counselor, Professional (Licence: OK 3451) | |
| 106H00000X Marriage & Family Therapist (Licence: OK 3451) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |