| NPI | 1720346778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON CLARK WARDELL Owner 405-412-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3455) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |