NPI | 1386992394 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK WADE ELIFRITZ Therapist/Owner 918-413-4840 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2430) |
Enumeration Date | 2012-08-22 |
Last Update Date | 2012-09-28 |