| NPI | 1285714253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J DAVIS Executive Director 405-642-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 422) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-09-20 |