| NPI | 1457984544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WES WARNER Therapist 405-633-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-04-28 |