| NPI | 1568882744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS LENTS Owner/Operator 405-471-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4729) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |