| NPI | 1669987897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY L DAVIES Lpc 918-658-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 5767) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |