| NPI | 1659709608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ERIN EDMONDSON Licensed Professional Counselor 405-315-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 5028) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 1067) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |