| NPI | 1265891899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY CROWNOVER Owner/Therapist 405-819-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 911) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |