| NPI | 1376098970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN SUZANNE COX Therapist 918-931-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 3038) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2018-07-31 |