| NPI | 1316347206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HEWETT Director/Lpc 918-207-9518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |