| NPI | 1285142992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTEL MITCHELL-COOLEY Lcsw 405-659-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OK 1290) |
| 1041C0700X Social Worker Clinical (Licence: OK 5827) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-02-01 |