NPI | 1316385917 |
---|---|
Entity Type | Organization |
Authorized Contact | JONNY RAY BRANDON Owner/CEO 405-264-3686 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4165) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2013-06-05 |