| NPI | 1730427725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE KENNETH JAMES Owner 580-304-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1018) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-28 |