| NPI | 1366848681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CASE Mental Health Therapist 405-250-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4784) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2016-11-16 |