| NPI | 1477862449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA W WHITE Therapist 918-932-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4085) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2019-07-09 |