| NPI | 1225574072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLE BROCK Owner/Therapist 918-615-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2024-02-22 |