| NPI | 1558802587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SUE NELSON Therapist 918-706-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4245) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-13 |