| NPI | 1467815464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY WHITLOCK Therapist, Owner 903-227-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 4594) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-06-12 |