| NPI | 1508030578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE BUTLER Psychotherapist 405-501-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3975) |
| Additional Taxonomies | 251S00000X (Licence: OK 3975) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2013-09-23 |