| NPI | 1447639497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD NOLE NOLE Therapist 918-694-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5633) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |