| NPI | 1467966952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA LYNN MCKUNE Owner/ Professional Counselor 580-379-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2729) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 129) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |