| NPI | 1508217456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXSANDRA MILLER Owner, Lpc 918-559-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5373) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |