| NPI | 1669751426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY L CROWNOVER Owner 405-819-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 911) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |