| 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 |