| NPI | 1477882058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEL COURTNEY BUERSMEYER Therapist 405-242-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 891) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OK 544) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |