| NPI | 1417379017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A GRADY Professional Counselor 405-896-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4468) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 899) |
| 101YM0800X Counselor, Mental Health (Licence: OK 4468) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2017-03-30 |