| NPI | 1609807643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI MICHELE CHITWOOD Counselor 580-242-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 2978) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-07-21 |