| NPI | 1396274288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL BERNIS Behavioral Health Counselor 405-201-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4089) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |