| NPI | 1659514164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A. RICHARDSON MUMINA Therapist 405-922-2769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK S2440) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2013-01-28 |