NPI | 1326423088 |
---|---|
Entity Type | Organization |
Authorized Contact | KELCY ECKELS Owner/Operator/Therapist 405-808-3987 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5487) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2015-07-23 |