| NPI | 1780975375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NICKELL Therapist/Owner 405-230-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 3950) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |