NPI | 1225382856 |
---|---|
Entity Type | Organization |
Authorized Contact | SOPHILIA JEAN LARK President/CEO 405-962-9688 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4487) |
Enumeration Date | 2012-11-05 |
Last Update Date | 2012-11-05 |