| NPI | 1225520638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERCY CALVERT Owner And Lpc 918-671-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6365) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |