| NPI | 1639565443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE MARIE KOEHN Sole Member/Owner 918-624-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4170) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |