| NPI | 1356621312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN BRILL Owner 405-406-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 1465) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |