| NPI | 1477166296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY STEWART Owner 918-928-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |