| NPI | 1487867263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC MICHAEL HARRIS Therapist 918-583-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 00000000) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |