| NPI | 1679754113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA NORRELL Administrator 580-536-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2313) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2009-05-26 |