| NPI | 1275813750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HEATHER MALONEY Mental Health Counselor 405-737-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3793) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |