| NPI | 1407495203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MONIQUE BLACK Director 405-795-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2022-05-03 |