| NPI | 1447328489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE CUNNINGHAM EDMONDSON Licensed Clinical Social Worker 405-843-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 1508) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-06-17 |