| NPI | 1578702577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CREMIN SELLERS Licensed Clinical Social Worker 918-724-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2832) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-07-14 |