| NPI | 1275877144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA ANNA CARPENTER Sole Owner 918-381-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4052) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |