| NPI | 1346650702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEATTA SHUMATE-JOHNSON Licensed Professional Counselor 918-794-2847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2503) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |