NPI | 1689190852 |
---|---|
Entity Type | Organization |
Authorized Contact | STORMY C WORSTER Managing Member 405-301-7610 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5149) |
Enumeration Date | 2017-08-18 |
Last Update Date | 2017-08-18 |