| NPI | 1275950529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LADD Manager 405-343-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2591) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 2591) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |