| NPI | 1285745240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY JEAN PHELPS Counselor 580-924-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 0042) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 0048) |
| 101Y00000X Counselor (Licence: TX 9832) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |