| NPI | 1386084580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISA CARROL ROBERTS Owner/Director 918-384-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4432) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |