| NPI | 1407463821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN STEPHENSON Manager Of Counseling Services 918-884-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |