| NPI | 1447670922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE BODI Owner 918-280-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK G080179653) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |