| NPI | 1740316249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY CAROL WHITSON Director Of Clinical Services 580-427-3476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3326) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |