| 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 |