| NPI | 1265872949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHETTRA MICHELLE SNOWBALL Owner/Operator 405-642-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 3876) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |