| NPI | 1467835405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATEZ MARSHALL Therapist/Owner 918-407-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5744) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2019-01-22 |