| NPI | 1316144272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARIE WILLIAMS Outpatient Therapist 918-758-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 620) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |