| NPI | 1689087603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER P CHILDERS Director 405-269-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 3838) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |